A Phase II, Multicenter, Randomized, Controlled, Open-label Study of the Safety, Efficacy and Pharmacokinetics of ABT-263 in Combination With Dose-intensive Rituximab, or Dose-intensive Rituximab Alone, in Previously Untreated Patients With B-Cell, Chronic Lymphocytic Leukemia (CLL)
Overview
- Phase
- Phase 2
- Intervention
- ABT-263
- Conditions
- Chronic Lymphocytic Leukemia
- Sponsor
- Genentech, Inc.
- Enrollment
- 118
- Primary Endpoint
- Progression-free survival
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This Phase II, randomized, open-label, international, multicenter trial is designed to evaluate the safety and efficacy of rituximab monotherapy when given according to a dose intense regimen and to assess the safety, efficacy, and pharmacokinetics of ABT-263 when combined with dose-intense rituximab in previously untreated patients with B-cell CLL.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Previously untreated, CD20-positive B-cell CLL
- •ECOG performance status of 0 or 1
- •Life expectancy \> 6 months
- •Willingness and capability to be accessible for follow-up until study termination or death
- •For patients of reproductive potential (both males and females), use of a reliable means of contraception
Exclusion Criteria
- •Prolymphocytic leukemia
- •Richter's transformation to an aggressive B-cell malignancy (e.g., DLBCL)
- •Prior radiotherapy to a lesion(s) that will be used to assess response unless that lesion(s) shows clear evidence of progression at baseline
- •Patients with a history of other malignancies within 2 years prior to study entry except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin carcinoma, low-grade, localized prostate cancer treated surgically with curative intent or one that carries a good prognosis, in situ ductal carcinoma of the breast treated with lumpectomy alone with curative intent
- •Prior treatment with rituximab, ABT-263 or other pro-apoptotic agents
- •Current or recent (within the 28 days prior to initiation of study treatment) participation in another experimental drug study
- •Major surgical procedure (excluding lymph node biopsy) or significant traumatic injury within 28 days prior to treatment onset or anticipation of the need for major surgery during the course of the study
- •Active infection requiring parenteral antibiotics or antiviral or antifungal agents at the onset of study treatment
- •Receipt of primary or booster vaccination with live-virus vaccines for up to 6 months prior to initiation of study treatment
- •Patients receiving therapeutic anticoagulation with heparin or warfarin or patients receiving any drugs or herbal supplements that are known to inhibit platelet function (including low-dose aspirin) within 7 days of the first dose of ABT-
Arms & Interventions
C
Intervention: ABT-263
A
Intervention: rituximab
B
Intervention: ABT-263
B
Intervention: rituximab
C
Intervention: rituximab
Outcomes
Primary Outcomes
Progression-free survival
Time Frame: From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from First Patient In [FPI])
Secondary Outcomes
- ORR as assessed by a blinded, independent review(Approximately 40 months from FPI)
- Duration of response as assessed by a blinded, independent review(Approximately 40 months from FPI)
- Overall survival (OS)(From randomization until death due to any cause (approximately 4 years after Last Patient In))
- Duration of response(Approximately 40 months from FPI)
- Overall response rate (ORR)(Approximately 40 months from FPI)
- Complete response (CR) rate(Approximately 40 months from FPI)
- Progression-free survival as assessed by a blinded, independent review(From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from FPI))
- CR rate as assessed by a blinded, independent review(Approximately 40 months from FPI)