Chronic Lymphocytic LeukemiaPhase 3NCT04578613
ICP-022 Versus Chlorambucil Combined With Rituximab in the Treatment of Untreated CLL/SLL
A Phase 3 study testing ICP-022, Chlorambucil and Rituximab in people with Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, run by Beijing InnoCare Pharma Tech Co., Ltd. at 56 sites in China.
Trial summary
This is a randomized, multicenter, open-label, Phase 3 study to evaluate the efficacy and safety of ICP-022 versus Chlorambucil plus Rituximab in subjects with Previously Untreated Chronic Lymphocytic Leukemia. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma
- What is being tested?
- ICP-022, Chlorambucil and Rituximab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 218 participants
- Where
- 56 sitesChina
- Study dates
- 8 Jan 2021to 30 Jun 2025
- Phase
- Phase 3
- 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
- Male or female, age ≥65 years old or age >18 years old or <65 years old, age >18 years old or <65 years old shall meet any of the following criteria simultaneously: A.Disease accumulation score (CIRS) > 6;B. Creatinine clearance at 30-69 mL/ min (Cockcroft-Gault assessment)
- Enhanced computed tomography/magnetic resonance imaging (CT/MRI) detection had measurable lesions: at least one lymph node had a maximum axis of more than 1.5 cm and had a measurable vertical dimension
- ECOG physical strength score is 0-2.
- Expected survival time >6 months.
- Voluntary written informed consent prior to screening.
Who cannot join
- Patients with stroke or intracranial hemorrhage in the first 6 months were randomly assigned.
- Hypersensitivity to ICP-022, nitrogen mustard benzoate, rituximab or any other component of the applicable study drug.
- Any mental or cognitive impairment that may limit their understanding of the informed consent, their implementation and their compliance with the study.
- Pregnant and lactating women, or subjects of childbearing age who do not want to use contraception within 180 days from the end of the study period to the end of the study period.
- Conditions in which a potentially life-threatening illness or severe organ dysfunction is not considered appropriate by the investigator.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
56 sites in 1 country.
56 sites in 1 country
China56 sites, 56 recruiting
- Not yet recruiting
Affiliated Hospital of Hebei University
Baoding, Hebei
Luoming Hua
- Not yet recruiting
The Fifth Medical Center of PLA General Hospital
Beijing, Beijing Municipality
Hang Su
- Not yet recruiting
The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui
Yanli Yang
- Recruiting
Affiliated Hospital of Binzhou Medical College
Binzhou, Shandong
Wenzheng Yu
- Not yet recruiting
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 410000
Hongling Peng
- Recruiting
The Third Xiangya Hospital of Central South University
Changsha, Hunan
Jing Liu
- Recruiting
Sichuan Provincial People's Hospital
Chengdu, Sichuan
Xiaobing Huang
- Not yet recruiting
West China Hospital of Sichuan University
Chengdu, Sichuan
Ting Niu
- Not yet recruiting
The First Affiliated Hospital of Congqing Medical University
Chongqing, Chongqing Municipality, 400000
Qing Xiao
- Not yet recruiting
The Second Affiliated Hospital of Army Medical University
Chongqing, Chongqing Municipality
Qin Wen
- Recruiting
Shengjing Hospital of China Medical University
Dalian, Liaoning
Wei Yang
- Not yet recruiting
Dongguan People's Hospital
Dongguan, Guangdong, 523058
Yirong Jiang, 13688967985
- Not yet recruiting
Dongyang People's Hospital
Dongyang, Zhejiang, 322199
Gongqiang Wu, 13757950788
- Not yet recruiting
The First Affiliated Hospital of Gannan Medical College
Ganzhou, Jiangxi, 341004
Yijian Chen, 13576749402
- Recruiting
Cancer Prevention and Treatment Center, Sun Yat-sen University
Guangzhou, Guangdong
Zhongjun Xia
- Recruiting
Guangzhou First People's Hospital
Guangzhou, Guangdong
Qingshun Wang
- Not yet recruiting
Affiliated Hospital of Guilin Medical College
Guilin, Guangxi, 541000
Wenyuan Lin, 15878361619
- Not yet recruiting
Shaoyifu Hospital Affiliated to Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310026
Jin Zhang
- Recruiting
The First Affiliated Hospital of Zhejiang University Medical College
Hangzhou, Zhejiang
Jie Jin
- Not yet recruiting
Affiliated Tumor Hospital of Harbin Medical University
Harbin, Heilongjiang
Qingyuan Zhang
- Not yet recruiting
Anhui Provincial Cancer Hospital
Hefei, Anhui
Kaiyang Ding
- Not yet recruiting
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui
Qingshu Zeng
- Not yet recruiting
Shandong Cancer Hospita
Jinan, Shandong, 250117
Zengjun Li, 13642138692
- Recruiting
Shandong Provincial Hospital
Jinan, Shandong
Xin Wang
- Not yet recruiting
Jinhua Central Hospital
Jinhua, Zhejiang, 321000
Huixian Hu, 13588652288
- Not yet recruiting
The first Affiliated Hospital of Kunming Medical University
Kunming, Yunnan
Yun Zeng
- Not yet recruiting
Lanzhou University Second Hospital
Lanzhou, Gansu
Liansheng Zhang
- Not yet recruiting
The first Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan
Haiping Yang
- Recruiting
Jiangxi Cancer Hospital
Nanchang, Jiangxi
Yuerong Shuang
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi
Fei Li
- Recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu
Jianyong Li
Wei Xu
- Not yet recruiting
Ningbo First Hospital
Ningbo, Zhejiang
Guifang Ouyang
- Not yet recruiting
Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200025
Jianqing Mi
- Not yet recruiting
The First Affiliated Hospital of China Medical University
Shenyang, Liaoning
Yan Li
- Not yet recruiting
Shenzhen People's Hospital
Shenzhen, Guangdong
Xinyou Zhang
- Recruiting
Hebei Medical University Second Hospital
Shijiazhuang, Hebei, h
Jinhai Ren
- Recruiting
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei
Lihong Liu
- Not yet recruiting
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu
Zhengming Jing
- Recruiting
General Hospital of Tianjin Medical University
Tianjin, Tianjin Municipality
Rong Fu
- Recruiting
Hospital of Hematology, Chinese Academy of Medical Sciences
Tianjin, Tianjin Municipality
Lugui Qiu
Shuhua Yi
- Recruiting
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality
Lihua Qiu
Yafei Wang
- Not yet recruiting
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang Uygur Autonomous Region, 830011
Jianhua Qu
- Not yet recruiting
Zhongnan Hospital of WuHan University
Wuhan, Hubei, 430071
Fuling Zhou
- Recruiting
Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei
Guohui Cui
- Not yet recruiting
Wuxi People's Hospital
Wuxi, Jiangsu
Xin Zhou
- Not yet recruiting
The Second Affiliated Hospital of Xi´an Jiaotong University
Xi’an, Shanxi, 710000
Aili, He
- Recruiting
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian
Bing Xu
- Not yet recruiting
Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu
Zhenyu Li
- Not yet recruiting
Subei People's Hospital
Yangzhou, Jiangsu
Jian Gu
- Recruiting
Yibin Second People's Hospital
Yibin, Sichuan
Shihua Huang
- Recruiting
Yichang Central People's Hospital
Yichang, Hubei
Jingming Guo
- Recruiting
Yichang First People's Hospital
Yichang, Hubei
Kaibo Gao
- Recruiting
First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan
Mingzhi Zhang
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan
Keshu Zhou
- Recruiting
Henan Province Hospital
Zhengzhou, Henan
Zunmin Zhu
- Not yet recruiting
Zhuzhou Central Hospital
Zhuzhou, Hunan, 412007
Guoyu Hu, 13707333899
About this study
Official title: A Randomized, Controlled, Open, Multicenter Phase 3 Study to Evaluate ICP-022 Versus Chlorambucil Combined With Rituximab for Primary Treatment of Chronic Lymphocytic Leukemia(CLL)/ Small Lymphocytic Lymphoma(SLL)
This is a randomized, multicenter, open-label, Phase 3 study to evaluate the efficacy and safety of ICP-022 versus Chlorambucil plus Rituximab in subjects with Previously Untreated Chronic Lymphocytic Leukemia.
- Being tested
- ICP-022, Chlorambucil, Rituximab
- 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.
ICP-022Drug
ICP-022 at a dose of 150mg, QD
ChlorambucilDrug
0.5 mg/kg body weight orally on Day 1 and Day 15 of Cycles 1-6
RituximabDrug
375 mg/m2 IV infusion on Day 1 of Cycle 1. 500 mg/m2 IV infusion on Day 1 for each of subsequent cycles (Cycles 2-6)
| Study group | Role | What they receive |
|---|---|---|
| ICP-022 | Experimental | ICP-022 will be orally administered until disease progression or unacceptable toxicity. Receives: Drug: ICP-022 |
| Chlorambucil combined with Rituximab | Active comparator | Chlorambucil orally administered and Rituximab via IV infusion for 6 cycles. Receives: Drug: Chlorambucil; Drug: Rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS)
Progress-free survival (PFS) was evaluated by the independent review board (IRC) against the IWCLL2018 criteria (Hallek et al., 2018) and the revised lymphoma mitigation assessment criteria (Cheson et al., 2014).
Measured: Up to 5 years
Secondary outcomes (3)
Objective Response Rate (ORR)
Measured: Up to 5 years
Duration Of Response (DOR)
Measured: Up to 5 years
Overall Survival (OS)
Measured: Up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Oct 2020
- Study start8 Jan 2021
- Primary completion30 Dec 2024 (estimated)
- Study completion30 Jun 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic Lymphocytic LeukemiaStudies of the same condition, open and under way.
- More trials run by Beijing InnoCare Pharma Tech Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 218 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Beijing InnoCare Pharma Tech Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04578613
- Sponsor's protocol ID
- ICP-CL-00111
- Status last verified
- May 2023
- First submitted
- 1 Oct 2020
- Last updated
- 5 Jun 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Li F, Zhou K, Xu W, Cui G, Yi S, Jin J, Zhu Z, He A, Mi J, Xia Z, Huang X, Zhou X, Yu W, Guo J, Zeng Q, Huang S, Shuang Y, Peng H, Qiu L, Xu B, Li Y, Yang Y, Zhou F, Wang Y, Liu L, Ren J, Li Y, Yang W, Gu J, Ouyang G, Hua L, Zhang J, Xiao Q, Wang S, Zhang Q, Liu J, Ding K, Zhang L, Zeng Y, Li Z, Wen Q, Gao K, Yang H, Jiang Y, Chen Y, Li Z, Tang X, Wang W, Zhao R, Qiu L, Li J. Orelabrutinib versus chemoimmunotherapy in treatment-naive chronic lymphocytic leukemia/small lymphocytic lymphoma: a randomized, phase 3 trial. Signal Transduct Target Ther. 2026 Jul 6;11(1):261. doi: 10.1038/s41392-026-02818-x.
PubMed 42402625
Study at a glance
From the registry record, last updated by the sponsor on 5 Jun 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Controlled, Open, Multicenter Phase 3 Study to Evaluate ICP-022 Versus Chlorambucil Combined With Rituximab for Primary Treatment of Chronic Lymphocytic Leukemia(CLL)/ Small Lymphocytic Lymphoma(SLL)
- ClinicalTrials.gov ID
- NCT04578613
- Acronym / sponsor ID
- ICP-CL-00111
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 218 participants (estimated)
- Lead sponsor
- Beijing InnoCare Pharma Tech Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 8 Jan 2021 (actual)
- Primary completion
- 30 Dec 2024 (estimated)
- Study completion
- 30 Jun 2025 (estimated)
- First posted
- 8 Oct 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, multicenter, open-label, Phase 3 study to evaluate the efficacy and safety of ICP-022 versus Chlorambucil plus Rituximab in subjects with Previously Untreated Chronic Lymphocytic Leukemia.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ICP-022 | Experimental | Drug: ICP-022ICP-022 will be orally administered until disease progression or unacceptable toxicity. |
| Chlorambucil combined with Rituximab | Active comparator | Drug: Chlorambucil, Drug: RituximabChlorambucil orally administered and Rituximab via IV infusion for 6 cycles. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Male or female, age ≥65 years old or age >18 years old or <65 years old, age >18 years old or <65 years old shall meet any of the following criteria simultaneously: A.Disease accumulation score (CIRS) > 6;B. Creatinine clearance at 30-69 mL/ min (Cockcroft-Gault assessment)
- Enhanced computed tomography/magnetic resonance imaging (CT/MRI) detection had measurable lesions: at least one lymph node had a maximum axis of more than 1.5 cm and had a measurable vertical dimension
- ECOG physical strength score is 0-2.
- Expected survival time >6 months.
- Voluntary written informed consent prior to screening.
Key exclusion criteria (6 listed)
- Patients with stroke or intracranial hemorrhage in the first 6 months were randomly assigned.
- Hypersensitivity to ICP-022, nitrogen mustard benzoate, rituximab or any other component of the applicable study drug.
- Any mental or cognitive impairment that may limit their understanding of the informed consent, their implementation and their compliance with the study.
- Pregnant and lactating women, or subjects of childbearing age who do not want to use contraception within 180 days from the end of the study period to the end of the study period.
- Conditions in which a potentially life-threatening illness or severe organ dysfunction is not considered appropriate by the investigator.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ICP-022ICP-022 at a dose of 150mg, QD | Drug | ICP-022 |
| Chlorambucil0.5 mg/kg body weight orally on Day 1 and Day 15 of Cycles 1-6 | Drug | Chlorambucil combined with Rituximab |
| Rituximab375 mg/m2 IV infusion on Day 1 of Cycle 1. 500 mg/m2 IV infusion on Day 1 for each of subsequent cycles (Cycles 2-6) | Drug | Chlorambucil combined with Rituximab |
Primary outcome
Progression Free Survival (PFS)
Time frame: Up to 5 years
Progress-free survival (PFS) was evaluated by the independent review board (IRC) against the IWCLL2018 criteria (Hallek et al., 2018) and the revised lymphoma mitigation assessment criteria (Cheson et al., 2014).
3 secondary outcomes
Objective Response Rate (ORR)
Time frame: Up to 5 years
Duration Of Response (DOR)
Time frame: Up to 5 years
Overall Survival (OS)
Time frame: Up to 5 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jun 2023.
- Derived from this study: PubMed 42402625Li F, Zhou K, Xu W, Cui G, Yi S, Jin J, Zhu Z, He A, Mi J, Xia Z, Huang X, Zhou X, Yu W, Guo J, Zeng Q, Huang S, Shuang Y, Peng H, Qiu L, Xu B, Li Y, Yang Y, Zhou F, Wang Y, Liu L, Ren J, Li Y, Yang W, Gu J, Ouyang G, Hua L, Zhang J, Xiao Q, Wang S, Zhang Q, Liu J, Ding K, Zhang L, Zeng Y, Li Z, Wen Q, Gao K, Yang H, Jiang Y, Chen Y, Li Z, Tang X, Wang W, Zhao R, Qiu L, Li J. Orelabrutinib versus chemoimmunotherapy in treatment-naive chronic lymphocytic leukemia/small lymphocytic lymphoma: a randomized, phase 3 trial. Signal Transduct Target Ther. 2026 Jul 6;11(1):261. doi: 10.1038/s41392-026-02818-x.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
56 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ICP-022, Chlorambucil and Rituximab in people with Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, run by Beijing InnoCare Pharma Tech Co., Ltd. at 56 sites in China.
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 6 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: status not confirmed, as of the sponsor's last update on 5 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 56 sites in China. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact April Huang (010-66609723, April.huang@innocarepharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) (time frame: Up to 5 years). 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 NCT04578613, which also lists 1 linked publication.
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 5 Jun 2023.