AzTrials
AzTrials

MalignanciesPhase 1NCT03236857

A Study of the Safety and Pharmacokinetics of Venetoclax in Pediatric and Young Adult Patients With Relapsed or Refractory Malignancies

A Phase 1 study testing chemotherapy and venetoclax in people with Malignancies and Acute Lymphoblastic Leukemia (ALL), run by AbbVie at 31 sites in 8 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

An open-label, global, multi-center study to evaluate the safety and pharmacokinetics of venetoclax monotherapy, to determine the dose limiting toxicity (DLT) and the recommended Phase 2 dose (RPTD), and to assess the preliminary efficacy of venetoclax in pediatric and young adult participants with relapsed or… Read more about this study

Who is it for?
Ages 0 to 25 years
What is being tested?
chemotherapy and venetoclax
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
143 participants
Where
31 sitesin 8 countries
Study dates
8 Nov 2017to 19 Apr 2023
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 0 to 25 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Participants must have relapsed or refractory cancer.
  • Participants must have adequate hepatic and kidney function.
  • Participants less than or equal to 16 years of age must have performance status of Lansky greater than or equal to 50% and participants greater than 16 years of age must have performance status of Karnofsky greater than or equal to 50%.
  • Participants with solid tumors (with the exception of neuroblastoma) must have adequate bone marrow function in Part 1.
  • For the fifth cohort during Part 2 Cohort Expansion, participants with solid tumors must have evidence of BCL-2 expression (except participants with TCF3-HLF ALL).

Who cannot join

  • Participants with primary brain tumors or disease metastatic to the brain.
  • Participants who have central nervous system (CNS) disease with cranial involvement that requires radiation.
  • Participants who have received any of the following within the listed time frame, prior to the first dose of study drug
  • Inotuzumab ozogamicin or gemtuzumab ozogamicin within 30 days
  • Biologic agent (i.e., antibodies) for anti-neoplastic intent within 30 days or 5 half-lives whichever is shorter.
  • CAR-T infusion or other cellular therapy within 30 days
Show all 18Show fewer
  • Anticancer therapy including chemotherapy, radiation therapy, targeted small molecule agents, investigational agents within 14 days or 5 half-lives, whichever is shorter (Exceptions: Ph+ALL participants on Tyrosine Kinase Inhibitor (TKI) at Screening may enroll and remain on TKI therapy to control disease and TCF3-HLF ALL participants are allowed to have received chemotherapy within 14 days or 5 half-lives, whichever is shorter).
  • Steroid therapy for anti-neoplastic intent within 5 days (with the exception of TCF3-HLF ALL participants).
  • Requires ongoing hydroxyurea (hydroxyurea permitted up to first dose)
  • Participants who are less than 100 days post-transplant, or greater than or equal to 100 days post-transplant with active graft versus host disease (GVHD), or are receiving immunosuppressant therapy within 7 days prior to first dose of study drug.
  • Participants who are less than 6 weeks post-131 I-metaiodobenzylguanidine (mIBG) therapy.
  • Participants who have received the following within 7 days prior to the first dose of study drug:
  • Strong and moderate Cytochrome P450 3A (CYP3A) inhibitors (Part 1 Dose Determination);
  • Strong and moderate CYP3A inducers (Part 1 Dose Determination and Part 2 Cohort Expansion).
  • Participants who have not recovered from clinically significant adverse effect(s)/toxicity(s) of the previous therapy (Exception: Chemotherapy induced side effects that are expected to return to baseline in TCF3-HLF ALL participants).
  • Participants who have active, uncontrolled infections.
  • Participants with malabsorption syndrome or any other condition that precludes enteral administration.
  • Participants with recent positive test for SARS-CoV-2 (COVID-19) and no follow up test with negative result cannot be enrolled. Participants with contact to persons with COVID-19 and participants with signs and symptoms for COVID-19 infection must be tested before enrolling.

Trial locations and contacts

31 sites in 8 countries.

31 sites in 8 countries

United States11 sites
  • Children's Healthcare of Atlan /ID# 161552

    Atlanta, Georgia, 30322

  • Children's Hospital Colorado /ID# 161551

    Aurora, Colorado, 80045

  • Dana-Farber Cancer Institute /ID# 163440

    Boston, Massachusetts, 02215

  • Cincinnati Children's Hospital /ID# 161550

    Cincinnati, Ohio, 45229

  • St Jude Children's Research Hospital /ID# 163447

    Memphis, Tennessee, 38105

  • Medical College of Wisconsin /ID# 163461

    Milwaukee, Wisconsin, 53226-3522

  • Memorial Sloan Kettering Cancer Center-Koch Center /ID# 163444

    New York, New York, 10065-6007

  • Children's Hospital of Philadelphia /ID# 163445

    Philadelphia, Pennsylvania, 19104

  • Primary Children's /ID# 164399

    Salt Lake City, Utah, 84113

  • Univ California, San Francisco /ID# 163460

    San Francisco, California, 94143-2204

  • Seattle Children's Hospital /ID# 163459

    Seattle, Washington, 98105

Other trials in United States

France5 sites
  • Centre Leon Berard /ID# 163707

    Lyon, Rhone, 69373

  • AP-HM - Hopital de la Timone /ID# 161465

    Marseille, Bouches-du-Rhone, 13385

  • AP-HP - Hopital Armand-Trousseau /ID# 163728

    Paris, 75012

  • Robert Debre Hopital, FR /ID# 161464

    Paris, 75019

  • CHU Toulouse - Hôpital des enfants /ID# 163727

    Toulouse, 31059

Other trials in France

Australia4 sites
  • Women and Childrens Hospital /ID# 163147

    North Adelaide, South Australia, 5006

  • Royal Children's Hospital /ID# 163104

    Parkville, Victoria, 3052

  • Sydney Children's Hospital /ID# 163148

    Randwick, New South Wales, 2031

  • Queensland Children's Hospital /ID# 163146

    South Brisbane, Queensland, 4101

Other trials in Australia

Germany4 sites
  • Charite Universitaetsklinikum Berlin - Campus Virchow /ID# 161730

    Berlin, 13353

  • Universitaetsklinikum Essen /ID# 164207

    Essen, 45147

  • Universitaetsklinikum Freiburg /ID# 164206

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

  • Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 161729

    Kiel, Schleswig-Holstein, 24105

Other trials in Germany

Canada2 sites
  • CHU Sainte-Justine /ID# 163725

    Montreal, Quebec, H3T 1C5

  • Hospital for Sick Children /ID# 163726

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Netherlands2 sites
  • Erasmus MC - Sophia /ID# 161579

    Rotterdam, 3015 GD

  • Prinses Maxima Centrum /ID# 162670

    Utrecht, 3584 CS

Other trials in Netherlands

United Kingdom2 sites
  • Great Ormond Street Hospital for Children /ID# 169238

    London, London, City of, WC1N 3JH

  • The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 162938

    Newcastle upon Tyne, NE7 7DN

Other trials in United Kingdom

Switzerland1 site
  • Kinderspital Zurich - Eleonorenstiftung /ID# 163037

    Zurich, Canton of Zurich, 8032

Other trials in Switzerland

About this study

Official title: A Phase 1 Study of the Safety and Pharmacokinetics of Venetoclax in Pediatric and Young Adult Patients With Relapsed or Refractory Malignancies

An open-label, global, multi-center study to evaluate the safety and pharmacokinetics of venetoclax monotherapy, to determine the dose limiting toxicity (DLT) and the recommended Phase 2 dose (RPTD), and to assess the preliminary efficacy of venetoclax in pediatric and young adult participants with relapsed or refractory malignancies.

Being tested
chemotherapy, venetoclax
Keywords
Cancer, Venetoclax, pediatric, relapsed or refractory, Venclexta
Medical subject headings
Neoplasms, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Leukemia, Myeloid, Acute, Lymphoma, Non-Hodgkin, Neuroblastoma, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • chemotherapyDrug

    Dexamethasone and/or vincristine and/or pegasparaginase OR cytarabine and/or etoposide and/or pegasparaginase; tyrosine kinase inhibitor; cytarabine OR azacitidine OR decitabine; rituximab and/or dexamethasone and/or vincristine; cyclophosphamide and/or topotecan

  • venetoclaxDrug

    Also called ABT-199, GDC-0199, Venclexta

    Oral tablet for participants; Tablet for oral suspension (participants who cannot swallow a tablet)

Study groups in NCT03236857
Study groupRoleWhat they receive
Venetoclax with or without chemotherapyExperimentalVenetoclax administered orally once daily (QD) with various doses and dosing regimens with or without chemotherapy at the discretion of the investigator. Allowed chemotherapy regimens as outlined in the study protocol.
Receives: Drug: chemotherapy; Drug: venetoclax

What is being measured

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

  1. Number of Participants Experiencing Adverse Events

    An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study.

    Measured: Up to 9 months

  2. Number of Participants With Dose Limiting Toxicities (DLT) of Venetoclax Monotherapy

    A DLT is any Grade 3 or higher non-hematologic adverse event (AE) with exceptions outlined in the protocol.

    Measured: First 21 days venetoclax monotherapy

  3. Recommended Phase 2 dose (RPTD) of Venetoclax

    Venetoclax RPTD is the dose determined based on adverse event reporting and dose-limiting toxicity information from all participants.

    Measured: First 21 days venetoclax monotherapy

  4. Cmax of Venetoclax

    Maximum plasma concentration (Cmax) of venetoclax.

    Measured: Up to approximately 2 weeks

  5. Tmax of venetoclax

    Time to maximum plasma concentration (Tmax) of venetoclax.

    Measured: Up to approximately 2 weeks

  6. AUC0-24 Post-Dose of Venetoclax

    Area under the plasma concentration-time curve from 0 to 24 hours (AUC24) post-dose of venetoclax.

    Measured: Up to approximately 2 weeks

Secondary outcomes (3)
  1. Objective Response Rate (ORR)

    ORR is defined as the proportion of participants who achieved a response according to established criteria described in detail in the study protocol.

    Measured: Up to 9 months

  2. Partial Response (PR) Rate

    PR is defined according to established criteria for each tumor type and is described in detail within the study protocol.

    Measured: Up to 9 months

  3. Complete Response (CR) Rate

    CR is defined according to established criteria for each tumor type and is described in detail within the study protocol.

    Measured: Up to 9 months

Timeline

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

  1. First posted2 Aug 2017
  2. Study start8 Nov 2017
  3. Primary completion19 Apr 2023
  4. Study completion19 Apr 2023

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
143 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03236857
Sponsor's protocol ID
M13-833
Other IDs
2017-000439-14, 2017
Status last verified
Nov 2022
First submitted
31 Jul 2017
Last updated
22 May 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No
Expanded access
Available

Publications

  • Karol SE, Khaw SL, Zwaan CM, Baruchel A, Bittencourt H, Cooper TM, Flotho C, Fraser C, Forlenza CJ, Goldsmith KC, Macy ME, Morgenstern DA, O'Brien MM, Petit A, Ziegler DS, Reinhardt D, Opferman JT, Rubnitz JE, Onishi M, Dunshee DR, Dunbar F, Vishwamitra D, Ross JA, Chen X, Unnebrink K, Kammerlander M, Salem AH, Palenski TL, Sunkersett G, Place AE. Venetoclax Alone or in Combination With Chemotherapy in Paediatric and Adolescent/Young Adult Patients With Relapsed/Refractory Acute Myeloid Leukaemia. Pediatr Blood Cancer. 2025 Jul;72(7):e31714. doi: 10.1002/pbc.31714. Epub 2025 Apr 23.

    PubMed 40266036
  • Place AE, Karol SE, Forlenza CJ, Cooper TM, Fraser C, Cario G, O'Brien MM, Gerber NU, Bourquin JP, Reinhardt D, Rubnitz JE, Opferman JT, Sunkersett G, Onishi M, Dunshee DR, Chen X, Unnebrink K, Vishwamitra D, Dunbar F, Badawi M, Ross JA, Loh ML. Venetoclax Combined With Chemotherapy in Pediatric and Adolescent/Young Adult Patients With Relapsed/Refractory Acute Lymphoblastic Leukemia. Pediatr Blood Cancer. 2025 Jun;72(6):e31630. doi: 10.1002/pbc.31630. Epub 2025 Mar 10.

    PubMed 40062648
  • Badawi M, Gopalakrishnan S, Engelhardt B, Palenski T, Karol SE, Rubnitz JE, Menon R, Salem AH. Dosing of Venetoclax in Pediatric Patients with Relapsed Acute Myeloid Leukemia: Analysis of Developmental Pharmacokinetics and Exposure-Response Relationships. Clin Ther. 2024 Oct;46(10):759-767. doi: 10.1016/j.clinthera.2024.09.008. Epub 2024 Oct 5.

    PubMed 39368878
  • Dalton KM, Krytska K, Lochmann TL, Sano R, Casey C, D'Aulerio A, Khan QA, Crowther GS, Coon C, Cai J, Jacob S, Kurupi R, Hu B, Dozmorov M, Greninger P, Souers AJ, Benes CH, Mosse YP, Faber AC. Venetoclax-based Rational Combinations are Effective in Models of MYCN-amplified Neuroblastoma. Mol Cancer Ther. 2021 Aug;20(8):1400-1411. doi: 10.1158/1535-7163.MCT-20-0710. Epub 2021 Jun 4.

    PubMed 34088831
  • Place AE, Goldsmith K, Bourquin JP, Loh ML, Gore L, Morgenstern DA, Sanzgiri Y, Hoffman D, Zhou Y, Ross JA, Prine B, Shebley M, McNamee M, Farazi T, Kim SY, Verdugo M, Lash-Fleming L, Zwaan CM, Vormoor J. Accelerating drug development in pediatric cancer: a novel Phase I study design of venetoclax in relapsed/refractory malignancies. Future Oncol. 2018 Sep;14(21):2115-2129. doi: 10.2217/fon-2018-0121. Epub 2018 Mar 29.

    PubMed 29595064

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing chemotherapy and venetoclax in people with Malignancies and Acute Lymphoblastic Leukemia (ALL), run by AbbVie at 31 sites in 8 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 18 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 22 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in United States, France, Australia, Germany, Canada and 3 more countries. 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?

Number of Participants Experiencing Adverse Events (time frame: Up to 9 months). The study lists 6 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 NCT03236857, which also lists 5 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 22 May 2023.

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