Study of the Use of Venetoclax in Participants With Chronic Lymphocytic Leukemia (CLL) Under Real-Life Setting
- Conditions
- Chronic Lymphocytic Leukemia (CLL)
- Registration Number
- NCT03342144
- Lead Sponsor
- AbbVie
- Brief Summary
An observational study to assess the effectiveness, health economic-relevant costs and participant reported outcomes in participants with Chronic lymphocytic leukemia (CLL) receiving venetoclax as a monotherapy or in combination with rituximab or obinutuzumab as prescribed at the discretion of the physician and in accordance with local clinical practice and label.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 350
- Participant with chronic lymphocytic leukemia (CLL) administering venetoclax and who meets the following conditions as specified in the label for venetoclax:
- Venetoclax monotherapy for the treatment of CLL in the presence of deletion chromosome 17 (del[17p]) or tumor protein p53 (TP53) mutation in adult participants, who are unsuitable for or have failed to a B-cell receptor pathway inhibitor.
- Venetoclax monotherapy for the treatment of CLL in the absence of del(17p) or TP53 mutation in adult participants, who have failed both chemoimmunotherapy and a B-cell receptor pathway inhibitor.
- Venetoclax in combination with rituximab for the treatment of adult participants with CLL who have received at least one prior therapy.
- Venetoclax in combination with obinutuzumab for previously untreated adult participants with CLL.
- None
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Percentage of Participants Achieving Best Overall Response Rate (ORR) Up to 12 months ORR is defined as the percentage of participants achieving partial response (PR) and complete response with incomplete regeneration of bone marrow (CRi) and complete response (CR) according to physician's assessment to therapy with venetoclax.
- Secondary Outcome Measures
Name Time Method Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab with Stable Disease (SD) Up to 24 months SD is defined as percentage of all participants not having PD, but who do not meet the criteria for PR or CR.
Progression-Free Survival (PFS) Rate in Participants Receiving Venetoclax Monotherapy Up to 24 months Percentage of participants with PFS where PFS is defined as the number of days from the date of entry in the study to the date of the first documented disease progression, start of a subsequent treatment regimen, or death due to any cause, whichever occurs first.
Progression-Free Survival (PFS) Rate in Participants Receiving Venetoclax in Combination with Obinutuzumab Up to 24 months Percentage of participants with PFS where PFS is defined as the number of days from the date of entry in the study to the date of the first documented disease progression, start of a subsequent treatment regimen, or death due to any cause, whichever occurs first.
Percentage of Participants Still on Venetoclax Monotherapy Up to 24 months Percentage of participants still on venetoclax monotherapy throughout the study.
Percentage of Participants Still on Venetoclax in Combination with Rituximab Up to 24 months Percentage of participants still on venetoclax in combination with rituximab throughout the study.
Percentage of Participants Receiving Venetoclax Monotherapy with Disease Progression Up to 24 months Disease progression as defined in the study protocol in participants receiving venetoclax monotherapy.
Percentage of Participants Receiving Venetoclax in Combination with Obinutuzumab with Disease Progression Up to 24 months Disease progression as defined in the study protocol in participants receiving venetoclax in combination with obinutuzumab.
Progression-Free Survival (PFS) Rate in Participants Receiving Venetoclax in Combination with Rituximab Up to 36 months Percentage of participants with PFS where PFS is defined as the number of days from the date of entry in the study to the date of the first documented disease progression, start of a subsequent treatment regimen, or death due to any cause, whichever occurs first.
Minimal Residual Disease (MRD) measurement on plasma circulating tumor Deoxyribo nucleic acid (DNA) (Switzerland Only) Up to 24 months MRD is defined as less than 1 clonal lymphocyte per 10000 leukocytes in peripheral blood or bone marrow.
Percentage of Participants Receiving Venetoclax Monotherapy and Achieving Complete Response (CR) Up to 24 months Complete Response as defined in the study protocol.
Percentage of Participants Receiving Venetoclax in Combination with Obinutuzumab and Achieving Complete Response (CR) Up to 24 months Complete Response as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab and Achieving Complete Response with Incomplete Regeneration of Bone Marrow (CRi) Up 24 months Incomplete regeneration of bone marrow (CRi) as defined in the study protocol.
Overall Survival (OS) Rate in Participants Receiving Venetoclax Monotherapy Up to 24 months Percentage of participants with OS where OS is defined as the number of days from the date of entry in the study to the date of death.
Percentage of Participants Receiving Venetoclax in Combination with Rituximab and Achieving Complete Response (CR) Up to 36 months Complete Response as defined in the study protocol.
Percentage of Participants Receiving Venetoclax in Combination with Rituximab with Disease Progression Up to 36 months Disease progression as defined in the study protocol in participants receiving venetoclax in combination with rituximab.
Overall Survival (OS) Rate in Participants Receiving Venetoclax in Combination with Rituximab Up to 36 months Percentage of participants with OS where OS is defined as the number of days from the date of entry in the study to the date of death.
Percentage of Participants Receiving Venetoclax Combination with Rituximab with Progressive Disease Up to 36 months Progressive disease as defined in the study protocol.
Overall Survival (OS) Rate in Participants Receiving Venetoclax in Combination with Obinutuzumab Up to 24 months Percentage of participants with OS where OS is defined as the number of days from the date of entry in the study to the date of death.
Percentage of Participants Receiving Venetoclax Monotherapy and Achieving Complete Response with Incomplete Regeneration of Bone Marrow (CRi) Up 24 months Incomplete regeneration of bone marrow (CRi) as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab and Achieving Partial Response (PR) Up to 24 months Partial response as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Combination with Obinutuzumab with Progressive Disease Up to 24 months Progressive disease as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Monotherapy with Stable Disease (SD) Up to 24 months SD is defined as percentage of all participants not having PD, but who do not meet the criteria for PR or CR.
Quality of Life using EORTC QLQ-C30 Scores Up to 104 weeks European Organization for Research and Treatment of Cancer (EORTC) Quality of Life questionnaire (QLQ) developed to assess the quality of life of cancer patients. and is based on multi-item and single-item scales. The core questionnaire contains 5 functional scales, 3 symptom scales, 1 global health status scale, as well as 6 single-item measures.
QLQ-CLL 16/17 Scores Up to 104 weeks Quality of Life Questionnaire - Chronic Lymphocytic Leukemia (QLQ-CLL)16/17 is designed for participants with stage 0 to stage 4 chronic lymphocytic leukemia. It is used to assess 5 domains of health-related quality of life important in CLL: fatigue, side effects and symptoms of disease, infection and social activities or future illness-related concerns.
Percentage of Participants Receiving Venetoclax Combination with Rituximab and Achieving Complete Response with Incomplete Regeneration of Bone Marrow (CRi) Up 36 months Incomplete regeneration of bone marrow (CRi) as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Monotherapy and Achieving Partial Response (PR) Up to 24 months Partial response as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Combination with Rituximab and Achieving Partial Response (PR) Up to 36 months Partial response as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Monotherapy with Progressive Disease Up to 24 months Progressive disease as defined in the study protocol.
Percentage of Participants Receiving Venetoclax Combination with Rituximab with Stable Disease (SD) Up to 36 months SD is defined as percentage of all participants not having PD, but who do not meet the criteria for PR or CR.
European Quality of Life 5 Dimensions (EQ-5D-5L) including visual analogue scale (VAS) Up 24 months The EQ-5D-5L is a standardized non-disease specific instrument for describing and valuing health-related quality of life. EQ-5D-5L questionnaire consists of 2 pages: the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D-5L questionnaire plus a VAS will be used to assess general health in 5 dimensions (mobility, self-care, usual activities, pain/discomfort anxiety/depression).
Management of Venetoclax Therapy Up to 24 Months Management of venetoclax therapy includes time from blood sampling to laboratory result availability, changes in laboratory values, occurence of tumor lysis syndrome and possible interventions, length and reason for hospitalizations, duration of IV hydration, therapy modifications, supportive therapies other criteria described in the protocol.
Health Resource Utilization (HRU) per year Up to 24 Months Health Resource Utilization (HRU) per year will be assessed.
Clonal evolution and eradication of Tumor Protein p53 (TP53) mutated clones associated with treatment in relation to MRD negativity (Switzerland Only) Up to 24 months Clonal evolution and eradication of TP53 mutated clones associated with treatment in relation to MRD negativity is evaluated
Value of MRD Assessment Up to 24 Months Value of MRD assessment by flow cytometry compared to comprehensive MRD assessment including flow cytometry plus NGS in peripheral blood as described in Annex II (Switzerland only).
Trial Locations
- Locations (59)
Hanusch Krankenhaus /ID# 221151
🇦🇹Wien, Austria
Praxis Dr. Kreher /ID# 202604
🇩🇪Bad Liebenwerda, Brandenburg, Germany
Friedrich-Ebert-Krankenhaus GmbH /ID# 206206
🇩🇪Neumuenster, Schleswig-Holstein, Germany
Stauferklinikum Schwaebisch Gmuend /ID# 201518
🇩🇪Mutlangen, Baden-Wuerttemberg, Germany
Praxis Dr. Klaproth/Cura /ID# 216413
🇩🇪Neunkirchen, Saarland, Germany
Gemeinschaftspraxis Dr. Heinrich und Prof. Bangerter /ID# 200950
🇩🇪Augsburg, Bayern, Germany
MVZ Dres. Cordes & Partner /ID# 202598
🇩🇪Frankfurt am Main, Hessen, Germany
Onkozentrum Dresden /ID# 202599
🇩🇪Dresden, Sachsen, Germany
VK&K Studien GbR /ID# 202614
🇩🇪Landshut, Bayern, Germany
Studienzentrum Aschaffenburg /ID# 204125
🇩🇪Aschaffenburg, Bayern, Germany
Haemato-Onkologie /ID# 205236
🇩🇪Muenchen, Bayern, Germany
Praxis Dr. Stauch /ID# 202611
🇩🇪Kronach, Bayern, Germany
MVZ am Klinikum Aschaffenburg Onkologie /ID# 201548
🇩🇪Aschaffenburg, Bayern, Germany
Centrum fuer Haematologie und Onkologie Bethanien /ID# 206701
🇩🇪Frankfurt am Main, Hessen, Germany
Praxis Dres. Plewe/Losem /ID# 202606
🇩🇪Neuss, Nordrhein-Westfalen, Germany
Praxis Dres. Tebbe/Mayer /ID# 206730
🇩🇪Kassel, Hessen, Germany
Onkologische Kooperation Harz /ID# 201550
🇩🇪Goslar, Niedersachsen, Germany
Evangelisches Krankenhaus Hamm /ID# 206703
🇩🇪Hamm, Germany
Onkologische Schwerpunktpraxis /ID# 200953
🇩🇪Berlin, Germany
OAZ Hannover /ID# 201538
🇩🇪Hannover, Niedersachsen, Germany
BAG Freiberg-Richter, Jacobasch, Illmer, Wolf /ID# 201532
🇩🇪Dresden, Sachsen, Germany
Caritas-Krankenhaus gGmbH /ID# 243212
🇩🇪Bad Mergentheim, Germany
Praxis für Hämatologie und Onkologie /ID# 241763
🇩🇪Berlin, Germany
Praxis Dres. Prange-Krex/Mohm /ID# 210049
🇩🇪Dresden, Germany
Pioh Dres. Draube & Partner /ID# 239507
🇩🇪Cologne, Germany
Internistische Schwerpunktpraxen, Erlangen /ID# 200949
🇩🇪Erlangen, Germany
Klinikum Frankfurt Hoechst /ID# 210048
🇩🇪Frankfurt, Germany
Klinikum Idar-Oberstein GmbH /ID# 210046
🇩🇪Idar-Oberstein, Germany
Studienzentrum am Raschplatz /ID# 250180
🇩🇪Hanover, Germany
Praxis Fuchs/Koehler /ID# 243215
🇩🇪Langen (Hessen), Germany
onkomedic GbR /ID# 218354
🇩🇪Halle (Saale), Germany
Praxis Dres. Decker/Lakner/Leithäuser /ID# 206208
🇩🇪Rostock, Germany
Diakonieklinikum Schwaebisch Hall /ID# 206205
🇩🇪Schwaebisch Hall, Germany
Onkologische Praxis GbR /ID# 206705
🇩🇪Porta Westfalica, Germany
Studienbüro Kamal und Dorn GBR /ID# 234105
🇩🇪Hanover, Germany
Onkolologische Praxis Oldenburg /ID# 202607
🇩🇪Oldenburg, Niedersachsen, Germany
Onkologische Praxis /ID# 201545
🇩🇪Stuttgart, Baden-Wuerttemberg, Germany
Schwarzwald-Baar-Klinikum /ID# 208176
🇩🇪Villingen-Schwenningen, Baden-Wuerttemberg, Germany
Praxis Dres. Krober/Stosiek /ID# 206729
🇩🇪Regensburg, Berlin, Germany
Onkologie Hof /ID# 201531
🇩🇪Hof, Bayern, Germany
Hämatologie und Onkologie /ID# 205247
🇩🇪Kaiserslautern, Rheinland-Pfalz, Germany
Med. Studiengesellschaft Nord West GmbH /ID# 201535
🇩🇪Westerstede, Niedersachsen, Germany
Praxis fuer interdisziplinaere Onkolologie und Haematologie /ID# 206999
🇩🇪Freiburg im Breisgau, Germany
OncoResearch Lerchenfeld GmbH /ID# 205237
🇩🇪Hamburg, Germany
Kantonsspital Aarau AG /ID# 210034
🇨🇭Aarau, Aargau, Switzerland
Kantonsspital Münsterlingen /ID# 210035
🇨🇭Münsterlingen, Thurgau, Switzerland
Universitaetsklinikum St. Poelten /ID# 221152
🇦🇹Sankt Poelten, Niederoesterreich, Austria
Landeskrankenhaus Salzburg-Universitaetsklinikum der PMU (LKH) /ID# 221153
🇦🇹Salzburg, Austria
Medizinische Universitaet Graz /ID# 221155
🇦🇹Graz, Steiermark, Austria
Réseau Hospitalier Neuchâtelois /ID# 227865
🇨🇭Neuchâtel, Neuchatel, Switzerland
Luzerner Kantonsspital /ID# 210029
🇨🇭Luzern 16, Luzern, Switzerland
Kantonsspital St. Gallen /ID# 223037
🇨🇭St. Gallen, Sankt Gallen, Switzerland
KSW Kantonsspital Winterthur /ID# 211068
🇨🇭Winterthur, Zuerich, Switzerland
Inselspital, Universitaetsspital Bern /ID# 210031
🇨🇭Bern, Switzerland
MVZ f. Blut- u.Krebserkrankungen /ID# 206704
🇩🇪Potsdam, Brandenburg, Germany
Ambulantes Tumorzentrum Bremerhaven /ID# 224353
🇩🇪Bremerhaven, Bremen, Germany
Spital Thun /ID# 233714
🇨🇭Thun, Bern, Switzerland
EOC Ospedale Regionale di Bellinzona e Valli /ID# 208782
🇨🇭Bellinzona, Ticino, Switzerland
Onkologische Gemeinschaftspraxis /ID# 205239
🇩🇪Hamburg, Germany