Study of Acalabrutinib (ACP-196) in Combination With Venetoclax (ABT-199), With and Without Obinutuzumab (GA101) Versus Chemoimmunotherapy for Previously Untreated CLL

Название протокола
Клинические исследование Chronic Lymphocytic Leukemia: Acalabrutinib, Venetoclax, Chemoimmunotherapy, Obinutuzumab - Реестр клинических исследований
Платное
Нет
Дата начала и окончания КИ
2022-02-06 - 2022-02-06
Спонсоры

Ведущий спонсор: Acerta Pharma BV

Коллаборационист: AstraZeneca

Источник Acerta Pharma BV
Краткое содержание

The purpose of this study is to evaluate the efficacy and safety of acalabrutinib in combination with venetoclax and acalabrutinib in combination with venetoclax with and without obinutuzumab compared to chemoimmunotherapy in subjects with previously untreated CLL.

Подробное описание

This randomized, global, multicenter, open-label, Phase 3 study will evaluate the efficacy and safety of AV and AVG versus chemoimmunotherapy (FCR or BR) in subjects with previously untreated CLL without del(17p) or TP53. Subjects will be randomized in a 1:1:1 ratio into 3 arms through a block stratified randomization procedure. The study includes screening (35 days), treatment (from randomization until study drug discontinuation) and follow-up phase.

Общий статус Recruiting
Дата начала 2019-02-25
Дата завершения 2027-01-06
Дата первичного завершения 2027-01-06
Фаза Phase 3
Тип исследования Interventional
Первичный результат
Мера Временное ограничение
To evaluate the efficacy of acalabrutinib with venetoclax (Arm A) compared to chemoimmunotherapy fludarabine/cyclophosphamide/rituximab [FCR] or bendamustine/rituximab [BR] (Arm C): PFS 6 years
Вторичный результат
Мера Временное ограничение
To evaluate the efficacy of acalabrutinib with venetoclax in combination with obinutuzumab (Arm B) compared with FCR or BR (Arm C): PFS 6 years
To evaluate the efficacy of acalabrutinib with venetoclax (Arm A) compared with FCR or BR (Arm C): PFS defined the same as above per investigator assessment. 6 years
Регистрация 780
Состояние
  • Chronic Lymphocytic Leukemia
Вмешательство

Тип вмешательства: Drug

Название вмешательства: Acalabrutinib

Описание: Acalabrutinib,

Другое имя: Calquence (acalabrutinib)

Тип вмешательства: Drug

Название вмешательства: Venetoclax

Описание: Venetoclax

Другое имя: Venclyxto, Venclexta

Тип вмешательства: Drug

Название вмешательства: Chemoimmunotherapy

Описание: fludarabine/cyclophosphamide/rituximab (FCR), bendamustine/rituximab (BR)

Этикетка Arm Group: Chemoimmunotherapy

Тип вмешательства: Drug

Название вмешательства: Obinutuzumab

Описание: Obinutuzumab

Этикетка Arm Group: Acalabrutinib, Venetoclax, Obinutuzumab

Другое имя: Gazyva, Gazyvaro

Приемлемость

Критерии:

Inclusion Criteria: - Men and women ≥18 years of age. - Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. - Diagnosis of CLL that meets published diagnostic criteria (Hallek et al. 2018) - Active disease per IWCLL 2018 criteria that requires treatment. - Participants must use highly effective birth control throughout the study. Exclusion Criteria: - Any prior CLL-specific therapies. - Detected del(17p) or TP53 mutation. - Transformation of CLL to aggressive non-Hodgkin lymphoma (NHL) (e.g., Richter's transformation, prolymphocytic leukemia [PLL], or diffuse large B cell lymphoma [DLBCL]), or central nervous system (CNS) involvement by leukemia. - History of confirmed progressive multifocal leukoencephalopathy (PML). - Received any investigational drug within 30 days before first dose of study drug. - Major surgical procedure within 30 days before the first dose of study drug. - Significant cardiovascular disease such as symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of Screening, or any Class 3 or 4 cardiac disease. Note: Subjects with controlled, asymptomatic atrial fibrillation 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 human immunodeficiency virus (HIV). - Serologic status reflecting active hepatitis B or C infection. - History of known hypersensitivity or anaphylactic reactions to study drugs or excipients. - History of stroke or intracranial hemorrhage within 6 months before first dose of study drug. - Known bleeding disorders. - Requires or receiving anticoagulation with warfarin or equivalent vitamin K antagonists. - Female participants must not be breastfeeding or pregnant. - Concurrent participation in another therapeutic clinical trial.

Пол:

All

Минимальный возраст:

18 Years

Максимальный возраст:

130 Years

Здоровые волонтеры:

No

Общий контакт

Фамилия: AstraZeneca Clinical Study Information Center

Телефон: 1-877-240-9479

Расположение
Объект: Положение дел:
Research Site | Fountain Valley, California, 92708, United States Withdrawn
Research Site | Fullerton, California, 92835, United States Withdrawn
Research Site | Los Angeles, California, 90095, United States Active, not recruiting
Research Site | Redondo Beach, California, 90277, United States Completed
Research Site | Santa Barbara, California, 93105, United States Withdrawn
Research Site | Orlando, Florida, 32806, United States Withdrawn
Research Site | Fort Wayne, Indiana, 46804, United States Active, not recruiting
Research Site | Wichita, Kansas, 67214, United States Active, not recruiting
Research Site | Louisville, Kentucky, 40207, United States Active, not recruiting
Research Site | New Orleans, Louisiana, 70056, United States Active, not recruiting
Research Site | Baltimore, Maryland, 21201, United States Active, not recruiting
Research Site | Boston, Massachusetts, 02215, United States Active, not recruiting
Research Site | Boston, Massachusetts, 02215, United States Withdrawn
Research Site | Brick, New Jersey, 08724, United States Withdrawn
Research Site | Florham Park, New Jersey, 07932, United States Withdrawn
Research Site | New York, New York, 10021, United States Completed
Research Site | New York, New York, 10029, United States Withdrawn
Research Site | New York, New York, 10032, United States Withdrawn
Research Site | Charlotte, North Carolina, 28204, United States Active, not recruiting
Research Site | Canton, Ohio, 44718, United States Active, not recruiting
Research Site | Pittsburgh, Pennsylvania, 15224, United States Active, not recruiting
Research Site | Pittsburgh, Pennsylvania, 15232, United States Active, not recruiting
Research Site | Fort Sam Houston, Texas, 78234, United States Active, not recruiting
Research Site | Spokane, Washington, 99208, United States Active, not recruiting
Research Site | Tacoma, Washington, 98405, United States Active, not recruiting
Research Site | Madison, Wisconsin, 53792, United States Withdrawn
Research Site | Buenos Aires, 1114, Argentina Active, not recruiting
Research Site | Buenos Aires, C1426ANZ, Argentina Active, not recruiting
Research Site | Capital Federal, 1118, Argentina Active, not recruiting
Research Site | Ciudad Autonoma Buenos Aires, C1181ACH, Argentina Not yet recruiting
Research Site | Córdoba, 5000, Argentina Terminated
Research Site | Córdoba, X5016KEH, Argentina Withdrawn
Research Site | Adelaide, 5000, Australia Active, not recruiting
Research Site | Darlinghurst, 2010, Australia Active, not recruiting
Research Site | Heidelberg, 3084, Australia Active, not recruiting
Research Site | Kogarah, 2217, Australia Active, not recruiting
Research Site | Melbourne, 3000, Australia Active, not recruiting
Research Site | Nedlands, 6009, Australia Active, not recruiting
Research Site | Waratah, 2298, Australia Active, not recruiting
Research Site | Woolloongabba, 4102, Australia Active, not recruiting
Research Site | Krems, 3500, Austria Recruiting
Research Site | Salzburg, 5020, Austria Active, not recruiting
Research Site | Vienna, 1140, Austria Active, not recruiting
Research Site | Yvoir, 5530, Belgium Withdrawn
Research Site | Curitiba, 80060-900, Brazil Withdrawn
Research Site | Curitiba, 81520-060, Brazil Withdrawn
Research Site | Goiania, 74605-020, Brazil Active, not recruiting
Research Site | Hangzhou, 310003, Brazil Recruiting
Research Site | Mexico City, 02990, Brazil Withdrawn
Research Site | Monterrey, 64570, Brazil Withdrawn
Research Site | Porto Alegre, 90020-090, Brazil Terminated
Research Site | Porto Alegre, 90035-003, Brazil Active, not recruiting
Research Site | Porto Alegre, 90110-270, Brazil Active, not recruiting
Research Site | Rio de Janeiro, 20230-130, Brazil Active, not recruiting
Research Site | Rio de Janeiro, 22793-080, Brazil Terminated
Research Site | Sao Paulo, 01236-030, Brazil Active, not recruiting
Research Site | Sao Paulo, 01509-900, Brazil Withdrawn
Research Site | Sao Paulo, 04121-000, Brazil Withdrawn
Research Site | Sao Paulo, 05403-010, Brazil Active, not recruiting
Research Site | São José do Rio Preto, 15090-000, Brazil Withdrawn
Research Site | São Paulo, 01308-050, Brazil Active, not recruiting
Research Site | Pleven, Bulgaria Withdrawn
Research Site | Plovdiv, Bulgaria Active, not recruiting
Research Site | Sofia, 1606, Bulgaria Withdrawn
Research Site | Sofia, 1606, Bulgaria Active, not recruiting
Research Site | Vratsa, 3000, Bulgaria Active, not recruiting
Research Site | Calgary, Alberta, T2N 4N2, Canada Active, not recruiting
Research Site | Edmonton, Alberta, T6G 1Z2, Canada Active, not recruiting
Research Site | Vancouver, British Columbia, V5Z 4E6, Canada Active, not recruiting
Research Site | Ottawa, Ontario, K1H 8L6, Canada Active, not recruiting
Research Site | Toronto, Ontario, M4N 3M5, Canada Active, not recruiting
Research Site | Toronto, Ontario, M5G 2M9, Canada Active, not recruiting
Research Site | Montreal, Quebec, H4J 1C5, Canada Active, not recruiting
Research Site | Quebec, G1J 1Z4, Canada Active, not recruiting
Research Site | Beijing, 100034, China Not yet recruiting
Research Site | Beijing, 100044, China Recruiting
Research Site | Beijing, 100191, China Not yet recruiting
Research Site | Changchun, 130021, China Not yet recruiting
Research Site | Changsha, 410008, China Not yet recruiting
Research Site | Chengdu, 610041, China Not yet recruiting
Research Site | Chongqing, 400037, China Not yet recruiting
Research Site | Fuzhou, 350009, China Not yet recruiting
Research Site | Guangzhou, 510100, China Not yet recruiting
Research Site | Guangzhou, 510515, China Recruiting
Research Site | Haikou, 570311, China Not yet recruiting
Research Site | Jinan, 250012, China Withdrawn
Research Site | Lanzhou, 730050, China Withdrawn
Research Site | Nanchang, 330006, China Not yet recruiting
Research Site | Nanjing, 210029, China Recruiting
Research Site | Shanghai, 200025, China Not yet recruiting
Research Site | Shenyang, 110001, China Not yet recruiting
Research Site | Shenzhen, 518039, China Not yet recruiting
Research Site | Tianjin, 300020, China Not yet recruiting
Research Site | Urumchi, 830054, China Not yet recruiting
Research Site | Wenzhou, 325000, China Not yet recruiting
Research Site | Wuhan, 430022, China Recruiting
Research Site | Wuhan, 430030, China Not yet recruiting
Research Site | Xian, 710061, China Not yet recruiting
Research Site | Zhengzhou, 450008, China Recruiting
Research Site | Zhengzhou, 450052, China Not yet recruiting
Research Site | Brno, 625 00, Czechia Active, not recruiting
Research Site | Hradec Kralove, 500 05, Czechia Active, not recruiting
Research Site | Olomouc, 779 00, Czechia Active, not recruiting
Research Site | Ostrava, 708 52, Czechia Active, not recruiting
Research Site | Plzen, 304 60, Czechia Active, not recruiting
Research Site | Praha 1, 128 00, Czechia Withdrawn
Research Site | Praha, Czechia Terminated
Research Site | Aarhus, 8200, Denmark Active, not recruiting
Research Site | Herlev, 2730, Denmark Active, not recruiting
Research Site | Odense C, 5000, Denmark Active, not recruiting
Research Site | Roskilde, 4000, Denmark Active, not recruiting
Research Site | Montpellier Cedex 5, 34090, France Active, not recruiting
Research Site | Paris Cedex 10, 75475, France Active, not recruiting
Research Site | Paris, 75013, France Active, not recruiting
Research Site | Paris, 75015, France Active, not recruiting
Research Site | Pessac, 33604, France Withdrawn
Research Site | Pierre Benite, 69495, France Withdrawn
Research Site | Rennes Cedex 9, 35033, France Active, not recruiting
Research Site | Rouen Cedex 1, 76038, France Active, not recruiting
Research Site | Toulouse Cedex 9, 31059, France Active, not recruiting
Research Site | Villejuif, 94800, France Active, not recruiting
Research Site | Erlangen, 91052, Germany Withdrawn
Research Site | Hamburg, 20099, Germany Withdrawn
Research Site | Köln, 50924, Germany Active, not recruiting
Research Site | Paderborn, 33098, Germany Completed
Research Site | Potsdam, 14467, Germany Withdrawn
Research Site | Ulm, 89081, Germany Not yet recruiting
Research Site | Würzburg, 97080, Germany Active, not recruiting
Research Site | Budapest, 1083, Hungary Active, not recruiting
Research Site | Budapest, 1125, Hungary Active, not recruiting
Research Site | Debrecen, 4032, Hungary Active, not recruiting
Research Site | Kaposvár, 7400, Hungary Active, not recruiting
Research Site | Pécs, 7624, Hungary Withdrawn
Research Site | Szeged, 6725, Hungary Withdrawn
Research Site | Dammam, 31444, Israel Active, not recruiting
Research Site | Haifa, 31048, Israel Withdrawn
Research Site | Haifa, 31999, Israel Active, not recruiting
Research Site | Jerusalem, 91120, Israel Active, not recruiting
Research Site | Jerusalem, Israel Active, not recruiting
Research Site | Petah Tiqva, 49100, Israel Active, not recruiting
Research Site | Tel Aviv, 64239, Israel Active, not recruiting
Research Site | Tel Hashomer, 52620, Israel Active, not recruiting
Research Site | Cagliari, 09121, Italy Withdrawn
Research Site | Meldola, 47014, Italy Active, not recruiting
Research Site | Milano, 20132, Italy Active, not recruiting
Research Site | Milano, 20162, Italy Active, not recruiting
Research Site | Novara, 28100, Italy Active, not recruiting
Research Site | Ravenna, 48121, Italy Active, not recruiting
Research Site | Roma, 00161, Italy Withdrawn
Research Site | Torino, 10126, Italy Active, not recruiting
Research Site | Incheon, 21565, Korea, Republic of Terminated
Research Site | Seoul, 03080, Korea, Republic of Active, not recruiting
Research Site | Seoul, 03722, Korea, Republic of Terminated
Research Site | Seoul, 05505, Korea, Republic of Active, not recruiting
Research Site | Seoul, 06591, Korea, Republic of Active, not recruiting
Research Site | D.F, 14050, Mexico Withdrawn
Research Site | Mexico, 01710, Mexico Withdrawn
Research Site | Monterrey, 64460, Mexico Withdrawn
Research Site | Morelia, 58260, Mexico Withdrawn
Research Site | Almere, 1315 RA, Netherlands Active, not recruiting
Research Site | Amsterdam, 1105 AZ, Netherlands Active, not recruiting
Research Site | Arnhem, 6815 AD, Netherlands Active, not recruiting
Research Site | Breda, 4818 CK, Netherlands Active, not recruiting
Research Site | Den Bosch, 5223 GZ, Netherlands Active, not recruiting
Research Site | Nieuwegein, 3435 CM, Netherlands Withdrawn
Research Site | Lima, LIMA 41, Peru Withdrawn
Research Site | Brzozów, 36-200, Poland Active, not recruiting
Research Site | Bydgoszcz, 85-168, Poland Active, not recruiting
Research Site | Gdynia, 81-519, Poland Active, not recruiting
Research Site | Kraków, 30-510, Poland Active, not recruiting
Research Site | Lublin, 20-081, Poland Active, not recruiting
Research Site | Wrocław, 50-367, Poland Active, not recruiting
Research Site | Wrocław, 50-556, Poland Active, not recruiting
Research Site | Łódź, 93-510, Poland Active, not recruiting
Research Site | Moscow, 115478, Russian Federation Active, not recruiting
Research Site | Moscow, 125284, Russian Federation Active, not recruiting
Research Site | Moscow, 125284, Russian Federation Withdrawn
Research Site | Saint Petersburg, 197347, Russian Federation Active, not recruiting
Research Site | Saint-Petersburg, Russian Federation Active, not recruiting
Research Site | Samara, 443095, Russian Federation Active, not recruiting
Research Site | Sochi, 354057, Russian Federation Completed
Research Site | St Petersburg, 197341, Russian Federation Active, not recruiting
Research Site | Tula, 300053, Russian Federation Recruiting
Research Site | Volgograd, 400138, Russian Federation Active, not recruiting
Research Site | Jeddah, 21423, Saudi Arabia Active, not recruiting
Research Site | Riyadh, 12713, Saudi Arabia Active, not recruiting
Research Site | Riyadh, 14611, Saudi Arabia Withdrawn
Research Site | Bratislava, 83310, Slovakia Active, not recruiting
Research Site | Bratislava, 85107, Slovakia Withdrawn
Research Site | Bloemfontein, 9301, South Africa Active, not recruiting
Research Site | Cape Town, 7925, South Africa Active, not recruiting
Research Site | Johannesburg, 2013, South Africa Active, not recruiting
Research Site | Johannesburg, 2196, South Africa Withdrawn
Research Site | Pretoria, 0044, South Africa Active, not recruiting
Research Site | Randburg, 2125, South Africa Active, not recruiting
Research Site | Badalona(Barcelona), 08916, Spain Active, not recruiting
Research Site | Barcelona, 08035, Spain Active, not recruiting
Research Site | Barcelona, 08041, Spain Active, not recruiting
Research Site | Madrid, 28006, Spain Withdrawn
Research Site | Madrid, 28007, Spain Active, not recruiting
Research Site | Madrid, 28031, Spain Active, not recruiting
Research Site | Madrid, 28033, Spain Withdrawn
Research Site | Madrid, 28041, Spain Withdrawn
Research Site | Majadahonda, 28222, Spain Active, not recruiting
Research Site | Salamanca, 37007, Spain Terminated
Research Site | Santander, 39008, Spain Active, not recruiting
Research Site | Valencia, 46009, Spain Terminated
Research Site | Göteborg, 41345, Sweden Active, not recruiting
Research Site | Uppsala, 75185, Sweden Active, not recruiting
Research Site | Örebro, 70185, Sweden Active, not recruiting
Research Site | Kaohsiung, 833, Taiwan Active, not recruiting
Research Site | Taichung, 404, Taiwan Terminated
Research Site | Tainan City, 70403, Taiwan Active, not recruiting
Research Site | Taipei, 10002, Taiwan Active, not recruiting
Research Site | Taipei, 11217, Taiwan Active, not recruiting
Research Site | Taoyuan City, 333, Taiwan Recruiting
Research Site | Ankara, 06100, Turkey Active, not recruiting
Research Site | Ankara, Turkey Active, not recruiting
Research Site | Izmir, 35340, Turkey Active, not recruiting
Research Site | Kurupelit, 55139, Turkey Active, not recruiting
Research Site | Talas, 38280, Turkey Active, not recruiting
Research Site | Trabzon, 61100, Turkey Withdrawn
Research Site | Cherkasy, 18009, Ukraine Withdrawn
Research Site | Dnipro, 49102, Ukraine Withdrawn
Research Site | Ivano-Frankivsk, Ukraine Withdrawn
Research Site | Kharkiv Region, 61070, Ukraine Withdrawn
Research Site | Khmelnytskyi, 29000, Ukraine Withdrawn
Research Site | Kyiv, 03022, Ukraine Withdrawn
Research Site | Kyiv, Ukraine Withdrawn
Research Site | Zhytomyr, 10002, Ukraine Withdrawn
Research Site | Cambridge, CB2 0QQ, United Kingdom Active, not recruiting
Research Site | Canterbury, CT1 3NG, United Kingdom Active, not recruiting
Research Site | Leeds, LS9 7TF, United Kingdom Withdrawn
Research Site | Wolverhampton, WV10 OQP, United Kingdom Active, not recruiting
Расположение Страны

Argentina

Australia

Austria

Belgium

Brazil

Bulgaria

Canada

China

Czechia

Denmark

France

Germany

Hungary

Israel

Italy

Korea, Republic of

Mexico

Netherlands

Peru

Poland

Russian Federation

Saudi Arabia

Slovakia

South Africa

Spain

Sweden

Taiwan

Turkey

Ukraine

United Kingdom

United States

Дата проверки

2021-12-01

Ответственная сторона

Тип: Sponsor

Ключевые слова
  • CLL
  • Chronic Leukemia Lymphocytic
  • Leukemia
Имеет расширенный доступ No
Состояние Просмотр
  • Leukemia
  • Leukemia, Lymphoid
  • Leukemia, Lymphocytic, Chronic, B-Cell
Количество рук 3
Группа вооружений

Метка: Acalabrutinib, Venetoclax

Тип: Experimental

Описание: Acalabrutinib in combination with Venetoclax

Метка: Acalabrutinib, Venetoclax, Obinutuzumab

Тип: Experimental

Описание: Acalabrutinib in combination with Venetoclax with or without Obinutuzumab

Метка: Chemoimmunotherapy

Тип: Active Comparator

Описание: Chemoimmunotherapy FCR: Fludarabine, Cyclophosphamide and Rituximab

Информация о дизайне исследования

Распределение: Randomized

Модель вмешательства: Parallel Assignment

Первичное назначение: Treatment

Маскировка: None (Open Label)