AzTrials
AzTrials

Lymphocytic Leukemia, ChronicPhase 1NCT01685892

A Study of Venetoclax in Combination With Obinutuzumab in Participants With Chronic Lymphocytic Leukemia

A Phase 1 study testing Obinutuzumab and Venetoclax in people with Lymphocytic Leukemia, Chronic, run by Genentech, Inc. at 10 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

This multi-center, open-label, dose-finding study will evaluate the safety and pharmacokinetics as well as the preliminary efficacy of venetoclax (GDC-0199; ABT-199) administered in combination with obinutuzumab to participants with relapsed/refractory or previously untreated chronic lymphocytic leukemia (CLL). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphocytic Leukemia, Chronic
What is being tested?
Obinutuzumab and Venetoclax
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
10 sitesin 2 countries
Study dates
29 Nov 2012to 23 Aug 2019
Phase
Phase 1
Are there results?
None posted in the registry

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

Who may be able to join

  • Diagnosis of relapsing/refractory or previously untreated chronic lymphocytic leukemia
  • Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to (</=) 1
  • Adequate bone marrow function
  • Adequate coagulation, renal and hepatic function
  • For all participants, agreement to remain abstinent or use contraceptive methods that result in a failure rate of less than (<) 1% per year during the treatment period and for at least 90 days (30 days for women) after the last dose of venetoclax or 18 months after the last dose of obinutuzumab, whichever is longer

Who cannot join

  • Participants who have undergone allogenic stem cell transplant are ineligible unless they meet the following criteria, a) participants who are off all immunosuppressive therapy, b) participants who have no signs and/or symptoms of acute or chronic graft versus host disease, or c) participants must have appropriate hematology counts
  • Infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
  • Uncontrolled autoimmune hemolytic anemia or thrombocytopenia
  • Investigational or anti-cancer therapy within 5 half-lives prior to the first dose of study drug
  • History of significant renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, cardiovascular, or hepatic disease

Trial locations and contacts

10 sites in 2 countries.

10 sites in 2 countries

United States7 sites
  • Ohio State University Comprehensive Cancer Center

    Columbus, Ohio, 43210

  • Colorado Blood Cancer Institute (CBCI) at Presbyterian/ St. Luke's Medical Center

    Denver, Colorado, 80218

  • The Methodist Hospital Research Institute; Academic Office of Clinical Trials

    Houston, Texas, 77030

  • UCSD Moores Cancer Center

    La Jolla, California, 92093

  • SCRI-Tennessee Oncology

    Nashville, Tennessee, 37203

  • Weill Cornell Medical College-New York Presbyterian Hospital

    New York, New York, 10021

  • Oncology Associates of Oregon

    Springfield, Oregon, 97477

Other trials in United States

United Kingdom3 sites
  • St James University Hospital

    Leeds, LS9 7TF

  • Leicester Royal Infirmary NHS Trust

    Leicester, LE1 5WW

  • Barts and The London School of Medicine and Dentistry; Queen Mary, University of London

    London, E1 2AD

Other trials in United Kingdom

About this study

Official title: A Phase Ib Multicenter Dose-Finding and Safety Study of Venetoclax and Obinutuzumab in Patients With Relapsed or Refractory or Previously Untreated Chronic Lymphocytic Leukemia

This multi-center, open-label, dose-finding study will evaluate the safety and pharmacokinetics as well as the preliminary efficacy of venetoclax (GDC-0199; ABT-199) administered in combination with obinutuzumab to participants with relapsed/refractory or previously untreated chronic lymphocytic leukemia (CLL). The study is comprised of two stages for each participant population: a dose-finding stage and a safety-expansion stage. The dose-finding stage will explore multiple doses of venetoclax to be used in combination with a fixed dose of obinutuzumab. The dose-finding stage will also explore two schedules for drug administration, Schedule A (venetoclax introduced before obinutuzumab) and Schedule B (venetoclax introduced after obinutuzumab).

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.

  • ObinutuzumabDrug

    Also called GA101; RO5072759

    Participants will receive IV infusion of obinutuzumab 100 milligrams (mg) on Day 1 of Cycle 1, 900 mg on Day 2 of Cycle 1, and 1000 mg on Days 8 and 15 of Cycle 1 and on Day 1 of Cycles 2-6.

  • VenetoclaxDrug

    Also called ABT-199, GDC-0199

    Participants will receive multiple doses of venetoclax orally once daily.

Study groups in NCT01685892
Study groupRoleWhat they receive
Dose-Finding: Schedule A: Relapsed/Refractory CLLExperimentalAll 4 cohorts will begin venetoclax administration after the ramp-up period of 5 weeks. In 4 cohorts of participants with relapsed/refractory CLL escalating doses of venetoclax will be administered in combination with fixed dose obinutuzumab in the dose-finding stage. In Schedule A, venetoclax will be introduced before obinutuzumab. Schedule A will be explored prior to Schedule B.
Receives: Drug: Obinutuzumab; Drug: Venetoclax
Dose-Finding: Schedule B: Relapsed/Refractory CLLExperimentalIn 4 cohorts of participants with relapsed/refractory CLL escalating doses of venetoclax will be administered in combination with fixed dose obinutuzumab in the dose-finding stage. In Schedule B, venetoclax will be introduced after obinutuzumab. Schedule A will be explored prior to Schedule B.
Receives: Drug: Obinutuzumab; Drug: Venetoclax
Dose-Finding: Schedule A: Previously Untreated CLLExperimentalAll 4 cohorts will begin venetoclax administration after the ramp-up period of 5 weeks. In 4 cohorts of participants with previously untreated CLL escalating doses of venetoclax will be administered in combination with fixed dose obinutuzumab in the dose-finding stage. In Schedule A, venetoclax will be introduced before obinutuzumab. Schedule A will be explored prior to Schedule B.
Receives: Drug: Obinutuzumab; Drug: Venetoclax
Dose-Finding: Schedule B: Previously Untreated CLLExperimentalIn 4 cohorts of participants with previously untreated CLL escalating doses of venetoclax will be administered in combination with fixed dose obinutuzumab in the dose-finding stage. In Schedule B, venetoclax will be introduced after obinutuzumab. Schedule A will be explored prior to Schedule B.
Receives: Drug: Obinutuzumab; Drug: Venetoclax
Safety Expansion: Relapsed/Refractory CLLExperimentalIn participants with relapsed/refractory CLL a recommended dose of venetoclax will be administered in combination with obinutuzumab in the safety expansion stage. Schedule A or B will be used for the expansion cohort after a review of available safety data from the dose finding stage.
Receives: Drug: Obinutuzumab; Drug: Venetoclax
Safety Expansion: Previously Untreated CLLExperimentalIn participants with previously untreated CLL a recommended dose of venetoclax will be administered in combination with obinutuzumab in the safety expansion stage. Schedule A or B will be used for the expansion cohort after a review of available safety data from the dose finding stage.
Receives: Drug: Obinutuzumab; Drug: Venetoclax

What is being measured

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

  1. Percentage of Participants With Dose Limiting Toxicities (DLTs)

    Measured: Schedule (Sch) A (Cycle 1 Day 1 to Day 21), Sch B (Cycle 1 Day 22 to Cycle 2 Day 28) (1 Cycle=28 days)

  2. Maximum Tolerated Dose (MTD) of Venetoclax in Combination with Obinutuzumab

    Measured: Sch A (Cycle 1 Day 1 to Day 21), Sch B (Cycle 1 Day 22 to Cycle 2 Day 28) (1 Cycle=28 days)

Secondary outcomes (17)
  1. Percentage of Participants with Adverse Events

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  2. Percentage of Participants with Anti-Therapeutic Antibodies (ATAs) to Obinutuzumab

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  3. Area Under the Concentration-Time Curve (AUC) of Venetoclax

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  4. Time to Maximum Observed Plasma Concentration (Tmax) of Venetoclax

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  5. Maximal Plasma Concentration (Cmax) of Venetoclax

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  6. Minimum Plasma Concentration (Cmin) of Venetoclax

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  7. Cmax of Obinutuzumab

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  8. Cmin of Obinutuzumab

    Measured: Baseline up to Cycle 6 (1 Cycle=28 days)

  9. Percentage of Participants with Confirmed Complete Response (CR) as Determined by Standard CLL Response Criteria

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  10. Percentage of Participants with Objective Response (Partial Response [PR] or CR [Including Cytopenic CR] as Determined by Standard CLL Response Criteria

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  11. Duration of Objective Response as Determined by Standard CLL Response Criteria

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  12. Overall Survival

    Measured: Baseline up to death or end of study (up to approximately 5 years and 5 months)

  13. Progression-Free Survival as Determined by Standard CLL Response Criteria

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  14. Change from Baseline in Number of B-Cells

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  15. Change from Baseline in Number of T-Cells

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  16. Change from Baseline in Number of Natural Killer (NK) Cells

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

  17. Change from Baseline in Serum Immunoglobulin Level

    Measured: Baseline up to end of study (up to approximately 5 years and 5 months)

Timeline

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

  1. First posted14 Sep 2012 (estimated)
  2. Study start29 Nov 2012
  3. Primary completion21 May 2018
  4. Study completion23 Aug 2019

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01685892
Sponsor's protocol ID
GP28331
Other IDs
2012-002038-34
Status last verified
Jan 2020
First submitted
12 Sep 2012
Last updated
10 Jan 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Samineni D, Gibiansky L, Wang B, Vadhavkar S, Rajwanshi R, Tandon M, Sinha A, Al-Sawaf O, Fischer K, Hallek M, Salem AH, Li C, Miles D. Pharmacokinetics and Exposure-Response Analysis of Venetoclax + Obinutuzumab in Chronic Lymphocytic Leukemia: Phase 1b Study and Phase 3 CLL14 Trial. Adv Ther. 2022 Aug;39(8):3635-3653. doi: 10.1007/s12325-022-02170-w. Epub 2022 Jun 16.

    PubMed 35708885
  • Flinn IW, Gribben JG, Dyer MJS, Wierda W, Maris MB, Furman RR, Hillmen P, Rogers KA, Iyer SP, Quillet-Mary A, Ysebaert L, Walter HS, Verdugo M, Klein C, Huang H, Jiang Y, Lozanski G, Pignataro DS, Humphrey K, Mobasher M, Kipps TJ. Phase 1b study of venetoclax-obinutuzumab in previously untreated and relapsed/refractory chronic lymphocytic leukemia. Blood. 2019 Jun 27;133(26):2765-2775. doi: 10.1182/blood-2019-01-896290. Epub 2019 Mar 12.

    PubMed 30862645

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Obinutuzumab and Venetoclax in people with Lymphocytic Leukemia, Chronic, run by Genentech, Inc. at 10 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Dose Limiting Toxicities (DLTs) (time frame: Schedule (Sch) A (Cycle 1 Day 1 to Day 21), Sch B (Cycle 1 Day 22 to Cycle 2 Day 28) (1 Cycle=28 days)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01685892, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jan 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in