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)
A Prospective, Open-Label, Phase IIb/III Study to Evaluate the Risk of TLS and Optimization of the Initiation of Venetoclax in Combination With Obinutuzumab or Acalabrutinib With Different Ramp- Up Periods in Previously Untreated Subjects With CLL
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
- Procedures mentioned: Blood draws, Questionnaires
Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.
Show the study's own words
- "The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires."
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
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 170 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.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Official 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.
Study sites (32)
AZ
- Arizona Oncology - Tucson - Rudasill /ID# 267552 · Tucson, AZ 85704More trials in Tucson
- Southern VA Health Care System /ID# 266254 · Tucson, AZ 85723More trials in Tucson
CA
- UCSF FRESNO/Community Cancer Institute /ID# 270874 · Clovis, CA 93611More trials in Clovis
- Valkyrie Clinical Trials /ID# 268151 · Los Angeles, CA 90067More trials in Los Angeles
CO
- Rocky Mountain Cancer Centers - Aurora /ID# 267549 · Aurora, CO 80012More trials in Aurora
CT
- Yale University School of Medicine /ID# 266224 · New Haven, CT 06510More trials in New Haven
FL
- Malcolm Randall V.A. Medical Center /ID# 267825 · Gainesville, FL 32608More trials in Gainesville
- Cancer Specialists of North Florida - Jacksonville - AC Skinner Parkway /ID# 266713 · Jacksonville, FL 32256More trials in Jacksonville
- Mid Florida Hematology And Oncology Center /ID# 269159 · Orange City, FL 32763More trials in Orange City
- Comprehensive Hematology Oncology /ID# 267644 · St. Petersburg, FL 33709More trials in St. Petersburg
IA
- University of Iowa Health Care /ID# 267206 · Des Moines, IA 50314-3017More trials in Des Moines
IL
- Springfield Clinic - First /ID# 270145 · Springfield, IL 62702More trials in Springfield
IN
- Northwest Cancer Center - Dyer Clinic /ID# 268478 · Dyer, IN 46311More trials in Dyer
LA
- Willis-Knighton Medical Center /ID# 270569 · Shreveport, LA 71103More trials in Shreveport
MA
- UMass Memorial Medical Center /ID# 270023 · Worcester, MA 01655More trials in Worcester
MD
- Center for Cancer and Blood Disorders-American Oncology Partners of Maryland /ID# 266445 · Bethesda, MD 20817More trials in Bethesda
- Maryland Oncology Hematology - Silver Spring /ID# 267557 · Silver Spring, MD 20904More trials in Silver Spring
MI
- Henry Ford Hospital /ID# 270973 · Detroit, MI 48202More trials in Detroit
MO
- Saint Lukes Hospital of Kansas City /ID# 267270 · Kansas City, MO 64111More trials in Kansas City
NC
- Atrium Health /ID# 267219 · Charlotte, NC 28204-2963More trials in Charlotte
- Atrium Health Wake Forest Baptist Medical Center /ID# 273142 · Winston-Salem, NC 27157More trials in Winston-Salem
NY
- Icahn School of Medicine at Mount Sinai /ID# 266328 · New York, NY 10029More trials in New York
OH
- Cleveland Clinic Main Campus /ID# 271292 · Cleveland, OH 44195More trials in Cleveland
OK
- Oklahoma Cancer Specialists and Research Institute /ID# 267643 · Tulsa, OK 74146More trials in Tulsa
OR
- Willamette Valley Cancer Institute and Research Center /ID# 266326 · Eugene, OR 97401More trials in Eugene
RI
- Lifespan Cancer Institute - Providence /ID# 266550 · Providence, RI 02903More trials in Providence
TX
- Texas Oncology - Austin Midtown /ID# 268152 · Austin, TX 78705More trials in Austin
- University of Texas - Southwestern Medical Center /ID# 266528 · Dallas, TX 75235More trials in Dallas
VA
- Virginia Cancer Specialists - Fairfax /ID# 268155 · Fairfax, VA 22031More trials in Fairfax
WA
- Vista Oncology - East Olympia /ID# 267337 · Olympia, WA 98506Site Coordinator · Study contact · 360-413-8880 opt 4More trials in Olympia
- Northwest Medical Specialties Tacoma /ID# 266327 · Tacoma, WA 98405More trials in Tacoma
WV
- West Virginia University School of Medicine /ID# 267645 · Morgantown, WV 26506More trials in Morgantown