Chronic Lymphoid LeukemiaPhase 3CLL17NCT04608318
Ibrutinib Monotherapy Versus Fixed-duration Venetoclax Plus Obinutuzumab Versus Fixed-duration Ibrutinib Plus Venetoclax in Patients With Previously Untreated Chronic Lymphocytic Leukaemia (CLL)
A Phase 3 study testing Ibrutinib, Venetoclax and Obinutuzumab in people with Chronic Lymphoid Leukemia, run by German CLL Study Group at 181 sites in 13 countries.
Trial summary
The aim of this study is to compare the efficacy of continuous ibrutinib monotherapy with fixed-duration venetoclax plus obinutuzumab and fixed-duration ibrutinib plus venetoclax by measuring progression-free survival (PFS) in patients with previously untreated CLL. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Lymphoid Leukemia
- What is being tested?
- Ibrutinib, Venetoclax and Obinutuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 897 participants
- Where
- 181 sitesin 13 countries
- Study dates
- 1 Mar 2021to Sep 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Documented CLL requiring treatment according to iwCLL criteria.
- Age at least 18 years.
- Life expectancy ≥ 6 months.
- Ability and willingness to provide written informed consent and to adhere to the study visit schedule and other protocol requirements.
- Adequate bone marrow function independent of growth factor or transfusion support within 2 weeks of screening initiation as follows, unless cytopenia is due to CLL:
- Absolute neutrophil count ≥ 1.0 × 109/L
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- Platelet counts ≥ 30 × 109/L; in cases of thrombocytopenia clearly due to CLL (per the discretion of the investigator), platelet count should be ≥ 10 × 109/L
- Total haemoglobin ≥ 8 g/dL (without transfusion support, unless anaemia is due to CLL)
- GFR >30ml/min directly measured with 24hr urine collection, calculated according to the modified formula of Cockcroft and Gault (for men: GFR ≈ ((140 - age) x bodyweight)/ (72 x creatinine), for women x 0, 85) or an equally accurate method.
- For patients with creatinine values within the normal range the calculation of the clearance is not necessary. Dehydrated patients with an estimated creatinine clearance less than 30 ml/min may be eligible if a repeat estimate after adequate hydration is > 30 ml/min.
- Adequate liver function as indicated by a total bilirubin ≤ 2 x, AST/ ALT ≤ 2.5 x the institutional ULN value, unless directly attributable to the patient's CLL or to Gilbert's Syndrome.
- Negative serological testing for hepatitis B (HbsAg negative and anti-HBc negative; patients positive for anti-HBc may be included if PCR for HBV DNA is negative and HBV-DNA PCR is performed every month/every three months if persistently negative until 12 months after last treatment cycle), and for hepatitis C (anti-HCV-ab negative; in case of positive HCV anti-body test, negative HCV-PCR is required).
- Eastern Cooperative Oncology Group Performance Status (ECOG) performance status 0-2.
Who cannot join
- Any prior CLL-specific therapies (except corticosteroid treatment administered due to necessary immediate intervention; within the last 10 days before start of study treatment, only dose equivalents up to 20 mg prednisolone are permitted).
- Transformation of CLL (Richter transformation). When Richter transformation is suspected, PET-CT and/or biopsy should be performed to rule out transformation.
- Patients with a history of PML.
- An individual organ/ system impairment score of 4 as assessed by the CIRS definition limiting the ability to receive the study treatment or any other life-threatening illness, medical condition or organ system dysfunction that, in the investigator´s opinion, could compromise the patients' safety or interfere with the absorption or metabolism of the study drugs (e.g. inability to swallow tablets or impaired resorption in the gastrointestinal tract).
- Malignancies other than CLL currently requiring systemic therapies, not being treated with curative intent before (unless the malignant disease is in a stable remission due to the discretion of the treating physician or showing signs of progression after curative treatment.
- Uncontrolled or active infection.
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- Patients with known infection with human immunodeficiency virus (HIV).
- Requirement of therapy with strong CYP3A4 and CYP3A5 inhibitors/ inducers (incl. up to 7 days prior to study treatment start).
- Anticoagulant therapy with warfarin, phenprocoumon or other vit-amin K antagonists (alternative anticoagulation is allowed (e.g. DOACs), but patients must be properly informed about the potential risk of bleeding under treatment with ibrutinib).
- History of stroke or intracranial hemorrhage within 6 months prior to registration for study screening.
- Known bleeding disorders
- Child B / C liver cirrhosis
- Use of investigational agents which might interfere with the study drug within 28 days prior to registration for study screening.
- Vaccination with live vaccines 28 days prior to registration for study screening.
- Major surgery less than 30 days before start of study treatment.
- History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies, known sensitivity or allergy to murine products.
- Known hypersensitivity to any active substance or to any of the excipients of one of the drugs used in the trial.
- Pregnant women and nursing mothers (a negative pregnancy test is required for all women of childbearing potential within 7 days before start of study treatment; further pregnancy testing will be performed monthly).
- Fertile men or women of childbearing potential unless:
- surgically sterile or ≥ 2 years after the onset of menopause
- willing to use two methods of reliable contraception including one highly effective contraceptive method (Pearl Index <1) and one additional effective (barrier) method during study treatment and for 18 months after the end of study treatment.
- Legal incapacity.
- Prisoners or subjects who are institutionalized by regulatory or court order.
- Persons who are in dependence to the sponsor or an investigator.
Trial locations and contacts
181 sites in 13 countries.
181 sites in 13 countries
Germany63 sites
Universitätsklinikum Augsburg
Augsburg, 86156
Onkologische Schwerpunktpraxis Kurfürstendamm
Berlin, 10707
Charite Universitaetsmedizin - Campus Benjamin Franklin
Berlin, 12203
Helios Klinikum Berlin Buch
Berlin, 13125
Charite Universitätsmedizin - Campus Virchow Klinikum
Berlin, 13353
Ev. Diakoniekrankenhaus
Bremen, 28239
Universitätsklinik Köln
Cologne, 50924
Gemeinschaftspraxis für Hämatologie & Onkologie
Dortmund, 44263
Gemeinschaftspraxis Hämatologie Onkologie
Dresden, 1307
Universitätsklinik Carl Gustav Carus
Dresden, 1307
Sana Krankenhaus Benrath
Düsseldorf, 40593
St. Georg Klinikum Eisenach
Eisenach, 99817
ISP Erlangen Onkologische Schwerpunktpraxis
Erlangen, 91052
Universitätsklinikum Erlangen
Erlangen, 91054
Universitaetsklinikum Essen
Essen, 45147
Onkologische Schwerpunktpraxis
Esslingen am Neckar, 73728
Centrum für Hämatologie und Onkologie Bethanien
Frankfurt, 60389
Universitätsklinikum Freiburg
Freiburg im Breisgau, 79106
Uniklinikum Gießen und Marburg
Giessen, 35392
MVZ Onkologische Kooperation Harz
Goslar, 38642
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
OncoResearch Lerchenfeld
Hamburg, 22081
Evangelische Krankenhaus Hamm
Hamm, 59063
Onkologisches Ambulanzzentrum - MediProjekt
Hanover, 30171
Onkologische Schwerpunktpraxis Heidelberg
Heidelberg, 69115
Universitätsklinikum Heidelberg
Heidelberg, 69120
Marien Hospital Herne
Herne, 44625
Universitätskliniken des Saarlandes
Homburg, 66424
Universitätsklinikum Jena
Jena, 7747
Westpfalz-Klinikum GmbH
Kaiserslautern, 67655
Universitaetsklinikum Schleswig-Holstein Campus Kiel
Kiel, 24105
Praxis für Haematologie und Onkologie
Koblenz, 56068
MVZ Hämatologie Onkologie Koblenz
Koblenz, 56727
H.O.T Onkologie Praxis Landshut
Landshut, 84036
Universitätsklinikum Leipzig
Leipzig, 4103
Onkopraxis Probstheida
Leipzig, 4289
Klinikum Lippe Lemgo
Lemgo, 32657
St Vincenz Krankenhaus
Limburg, 65549
Lübecker Onkologische Schwerpunktpraxis
Lübeck, 23562
Gemeinschaftspraxis Haematologie und Onkologie
Magdeburg, 39104
Universitätsklinikum Magdeburg
Magdeburg, 39120
Mannheimer Onkologie Praxis
Mannheim, 68161
Praxis für Innere Medizin - Hämatologie und Onkologie
Marburg, 35037
Kliniken Maria Hilf
Mönchengladbach, 41063
München Klinik Schwabing
München, 80804
Klinikum der Universitaet München - Grosshadern Campus
München, 81377
Klinikum rechts der Isar - Technische Universitaet Muenchen
München, 81675
Gemeinschaftspraxis für Hämatologie und Onkologie
Münster, 48153
Stauferklinikum Schwäbisch Gmünd
Mutlangen, 73557
Klinikum Oldenburg
Oldenburg, 26133
Brüderkrankenhaus St. Josef Paderborn
Paderborn, 33098
Gemeinschaftspraxis für Hämatologie und Onkologie
Ravensburg, 88212
Barmherzigen Brüder Krankenhaus
Regensburg, 93049
Schwerpunktpraxis für Hämatologie & Onkologie - OncoPro GbR
Regensburg, 93053
Universitätsklinik Rostock
Rostock, 18057
OnkoSaar Praxis für Hämatologie und Onkologie
Saarbrücken, 66113
Zentrum für abulante Hämatologie und Onkologie
Siegburg, 53721
Marienhospital Stuttgart
Stuttgart, 70199
Robert-Bosch-Krankenhaus
Stuttgart, 70376
Universitätsklinik Tübingen
Tübingen, 72076
Universitätsklinikum Ulm
Ulm, 89081
MVZ Weiden GmbH
Weiden, 92637
Hämatologisch Onkologische Schwerpunktpraxis
Würzburg, 97080
Netherlands22 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, 5223GZ
Nordwest Ziekenhuisgroep, Locatie Alkmaar
Alkmaar, 1815JD
OLVG Amsterdam
Amsterdam, 1091AC
Amsterdam Universitair Medische Centra
Amsterdam, 1105AZ
Rijnstate, Locatie Arnhem
Arnhem, 6815AD
Amphia Ziekenhuis
Breda, 4818CK
Reinier de Graaf Ziekenhuis
Delft, 2625AD
Slingeland ziekenhuis
Doetinchem, 7009BL
Albert Schweitzer Ziekenhuis
Dordrecht, 3318AT
Ziekenhuis Gelderse Vallei
Ede, 6716RP
Martini Ziekenhuis
Groningen, 9728NT
Ziekenhuis St Jansdal
Harderwijk, 3844DG
Medisch Centrum Leeuwarden
Leeuwarden, 8934AD
Alrijne Ziekenhuis
Leiderdorp, 2353GA
St. Antonius Ziekenhuis
Nieuwegein, 3435CM
Canisius-Wilhelmina Ziekenhuis
Nijmegen, 6532SZ
Maasstad Ziekenhuis
Rotterdam, 3079DZ
Franciscus Vlietland
Schiedam, 3118JH
Ziekenhuis Rivierenland Tiel
Tiel, 4002WP
Diakonessenhuis
Utrecht, 3582 KE
VieCuri Medish Centrum
Venlo, 5912BL
Isala Zwolle
Zwolle, 8025AB
Switzerland18 sites
Kantonsspital Aarau
Aarau, 5001
Kantonsspital Baden
Baden, 5404
Universitätsspital Basel
Basel, 4031
Ospedale Regionale Bellinzona e Valli
Bellinzona, 6500
Inselspital Bern
Bern, 3010
Spitalzentrum Oberwallis
Brig, 3900
Kantonsspital Graubünden
Chur, 7000
HFR Fribourg Hôpital cantonal
Fribourg, 1708
Hôpitaux Universitaires Genève
Geneva, 1211
Kantonsspital Baselland
Liestal, 4410
Luzerner Kantonsspital
Lucerne, 6000
Spital Thurgau AG - Kantonsspital Münsterlingen
Münsterlingen, 8596
Kantonsspital Olten
Olten, 4600
Kantonsspital St. Gallen
Sankt Gallen, 9007
Spital Thun
Thun, 3600
Kantonsspital Winterthur
Winterthur, 8401
Stadtspital Triemli
Zurich, 8063
Universitätsspital Zuerich
Zurich, 8091
Spain15 sites
Hospital Germans Trias i Pujol
Badalona, 8916
Vall d'Hebron University Hospital
Barcelona, 8035
Hospital Clinic de Barcelona
Barcelona, 8036
Hospital Duran i Reynals
Barcelona, 8908
Hospital Universitario La Princesa
Madrid, 28006
Hospital Universitario Infanta Leonor
Madrid, 28031
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Costa del Sol
Málaga, 29603
Hospital Universitario Central de Asturias
Oviedo, 33011
Hospital Clinico Universitario de Salamanca
Salamanca, 37007
Hospital Marques de Valdecilla
Santander, 39008
Hospital Universitario Virgen de Valme
Seville, 41014
Hospital Clinico Universitario Valencia
Valencia, 46010
Residencia Sanitaria La Fe - Valencia
Valencia, 46026
Hospital Clinico Universitario Lozano Blesa
Zaragoza, 50009
Sweden12 sites
Soedra Aelvsborgs Sjukhus
Borås, 50182
Falu Lasarett
Falun, 79182
Sahlgrenska University Hospital
Gothenburg, 41346
Hallands Sjukhus Halmstad
Halmstad, 30185
Universitetssjukhuset Linköping
Linköping, 58185
Sunderby Hospital
Luleå, 97180
Skåne University Hospital
Lund, 22185
Örebro University Hospital
Örebro, 70185
Karolinska University Hospital Solna
Stockholm, 17176
Umeå University Hospital
Umeå, 90185
Uppsala University Hospital
Uppsala, 75185
Hallands Sjukhus
Varberg, 43281
Israel10 sites
Shamir Medical Center Assaf Harofeh
Be’er Ya‘aqov, 70300
Soroka University Medical Center
Beersheba, 84101
Bnai-Zion Medical Center
Haifa, 31048
Hadassah Medical Center Ein Kerem University Hospital
Jerusalem, 91120
Meir Medical Center
Kfar Saba, 4428164
Galilee Medical Center
Nahariya, 22100
Rabin Medical Center Beilinson Hospital
Petah Tikva, 4941492
Chaim Sheba Medical Center
Ramat Gan, 52621
Kaplan Medical Center
Rehovot, 7610001
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Italy10 sites
Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele
Catania, 9513
Azienda Ospedaliero Universitaria di Ferrara
Ferrara, 44124
Ospedale dell'Angelo
Mestre, 30174
Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico
Milan, 20122
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
IRCCS Ospedale San Raffaele
Milan, 202132
Ospedale S. Maria della Misericordia
Perugia, 6123
Umberto I - Policlinico di Roma - Sapienza Università
Roma, 161
Gmelli University Hospital
Roma, 168
Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino
Torino, 10126
Denmark8 sites
Aalborg Universitetshospital
Aalborg, 9000
Aarhus Universitetshospital
Aarhus, 8200
Rigshospitalet
Copenhagen, 2100
Sydvestjysk Sygehus Esbjerg
Esbjerg, 6700
Regionshospitalet Holstebro
Holstebro, 7500
Odense Universitetshospital
Odense, 5000
Zealand University Hospital
Roskilde, 4000
Lillebaelt Vejle Sygehus
Vejle, 7100
Ireland8 sites
Cork University Hospital
Cork, T12DC4A
St Vincents University Hospital
Dublin, Dublin 4
Mater Misericordiae University Hospital
Dublin, Dublin 7
St. James's Hospital
Dublin, Dublin 8
Beaumont Hospital
Dublin, Dublin 9
University Hospital Galway
Galway, H91 YR71
University Hospital Limerick
Limerick, V94 F858
University Hospital Waterford
Waterford, X91 ER8E
Austria5 sites
LKH-Universtitätsklinikum Graz
Graz, 8036
Landeskrankenhaus - Universitätskliniken Innsbruck
Innsbruck, 6020
Medizinische Universität Wien
Vienna, 1090
Hanusch Krankenhaus
Vienna, 1140
Wiener Gesundheitsverbund Klinik Ottakring
Vienna, 1160
Norway4 sites
Haukeland University Hospital
Bergen, 5021
Akershus University Hospital
Lørenskog, 1478
Oslo University Hospital
Oslo, 372
St. Olavs Hospital Trondheim University Hospital
Trondheim, 7030
Belgium3 sites
Algemeen Ziekenhuis St. Jan
Bruges, 8000
Universitair Ziekenhuis Leuven
Leuven, 3000
Algemeen Ziekenhuis Delta
Roeselare, 8800
Finland3 sites
Helsinki University Hospital
Helsinki, 29
Tampere University Hospital
Tampere, 33520
Turku University Hospital
Turku, 20521
About this study
Official title: A Phase 3 Multicentre, Randomized, Prospective, Open-label Trial of Ibrutinib Monotherapy Versus Fixed-duration Venetoclax Plus Obinutuzumab Versus Fixed-duration Ibrutinib Plus Venetoclax in Patients With Previously Untreated Chronic Lymphocytic Leukaemia (CLL)
The aim of this study is to compare the efficacy of continuous ibrutinib monotherapy with fixed-duration venetoclax plus obinutuzumab and fixed-duration ibrutinib plus venetoclax by measuring progression-free survival (PFS) in patients with previously untreated CLL.
- Conditions
- Chronic Lymphoid Leukemia
- Being tested
- Ibrutinib, Venetoclax, Obinutuzumab
- Keywords
- CLL
- Medical subject headings
- Leukemia, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IbrutinibBiological
Also called Imbruvica
Cycles 1 - X: 420 mg daily, d1-28 p.o.
VenetoclaxBiological
Also called ABT-199, Venclyxto
Arm VG
Cycle 1: 20 mg (2 tabl. at 10 mg), d22-28 p.o.
Cycle 2: 50 mg (1 tabl. at 50 mg), d1-7; 100 mg (1 tabl. at 100 mg), d8-14; 200 mg (2 tabl. at 100 mg), d15-21; 400 mg (4 tabl. at 100 mg), d22-28 p.o.
Cycles 3-12: 400 mg (4 tabl. at 100 mg), d1-28 p.o.
Arm VI
Cycle 4: 20 mg (2 tabl. at 10 mg), d1-7; 50 mg (1 tabl. at 50 mg), d8-14; 100 mg (1 tabl. at 100 mg), d15-21; 200 mg (2 tabl. at 100 mg), d22-28 p.o.
Cycles 5-15: 400 mg (4 tabl. at 100 mg), d1-28 p.o.
ObinutuzumabBiological
Also called GA101, Gazyvaro
Cycle 1: (100 mg, d1 + 900 mg, d2) or 1000 mg, d1; 1000 mg, d8 + d15 i.v. Cycle 2 - 6: 1000 mg, d1 i.v.
| Study group | Role | What they receive |
|---|---|---|
| I (Ibrutinib) | Experimental | Ibrutinib p.o. will be administered until occurrence of unacceptable toxicity, progression of CLL or end of trial, whichever occurs first. Receives: Biological: Ibrutinib |
| VG (Obinutuzumab + Venetoclax) | Experimental | 12 cycles (q 28d): Obinutuzumab i.v. + Venetoclax p.o. will be administered for 6 cycles, followed by 6 additional cycles of Venetoclax alone Receives: Biological: Venetoclax; Biological: Obinutuzumab |
| VI (Venetoclax + Ibrutinib) | Experimental | 15 cycles (q 28d): Ibrutinib p.o. + Venetoclax p.o. will be administered for a total of 12 cycles with a prior Ibrutinib monotherapy lead-in of 3 cycles Receives: Biological: Ibrutinib; Biological: Venetoclax |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-assessed progression-free survival (PFS)
Time from randomization to the first occurrence of progression or relapse (determined using standard iwCLL guidelines), or death from any cause, whichever occurs first
Measured: Up to 80 month
Secondary outcomes (9)
Rates of undetectable minimal residual disease (uMRD) in peripheral blood (PB) and bone marrow (BM)
Undetectable MRD (uMRD) is defined as <10-4 (=1 CLL-cell per 10,000 leukocytes analyzed).The uMRD rate is defined as the proportion of patients having achieved uMRD.
Measured: At final restaging (RE): 18 months after start of treatment and additional BM assessment approx. 12 months after RE
MRD levels in PB at different time points
MRD is defined as the number of CLL-cells that can be detected in peripheral blood (PB) or bone marrow (BM). MRD values will be categorized into negative (<10-4) and positive (≥10-4)
Measured: Up to 80 month
Overall response rate (ORR)
Proportion of patients having achieved a complete response (CR), a CR with incomplete recovery of the bone marrow (CRi), or a partial response (PR) as best response.
Measured: At final restaging (RE): 18 months after start of treatment
CR/CRi rate
Proportion of patients having achieved a CR or CRi as best response (= number of patients with best response CR or CRi divided by the number of the intention-to-treat population (ITT) population)
Measured: At final restaging (RE): 18 months after start of treatment
Event-free survival
Event-free survival (EFS) (I vs VG and I vs VI)
Measured: Up to 80 month
Time to next treatment
Time to next treatment (TTNT)
Measured: Up to 80 month
PFS2
Progression free survival 2 (i.e. PFS after second-line treatment)
Measured: Up to 80 month
Incidence of safety parameters such as adverse events (AE) and adverse events of particular/special interest (AEPI/AESI)
Type, frequency, severity and relationship to study treatment.of AEs and AEPIs/AESIs
Measured: Up to 80 month
Safety parameter TLS
Tumour lysis syndrome (TLS) risk category after G or I lead-in (before venetoclax ramp up)
Measured: Up to 80 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2020
- Study start1 Mar 2021
- Primary completionSep 2027 (estimated)
- Study completionSep 2027 (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 Lymphoid LeukemiaStudies of the same condition, open and under way.
- 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
- 897 participants (estimated)
Sponsor and investigators
- Lead sponsor
- German CLL Study Group
- Sponsor type
- University, hospital or other
- Collaborators
- Stichting Hemato-Oncologie voor Volwassenen Nederland, Nordic CLL Study Group, Swiss Group for Clinical Cancer Research (SAKK), Cancer Trials Ireland, Gruppo Italiano Malattie EMatologiche dell'Adulto, Grupo Español de Leucemia Linfocítica Crónica (GELLC), The Israeli CLL Study Group (ICLLSG), Janssen Pharmaceutica N.V., Belgium, AbbVie, Hoffmann-La Roche
- Responsible party
- Sponsor
- Investigators
- Othman Al-Sawaf, Dr. med., Principal investigator, German CLL Study Group
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04608318
- Sponsor's protocol ID
- CLL17
- Other IDs
- 2022-500439-35-00, 2019-003854-99, 2019
- Acronym
- CLL17
- Status last verified
- Apr 2026
- First submitted
- 23 Oct 2020
- Last updated
- 30 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Al-Sawaf O, Stumpf J, Zhang C, Simon F, Bosch F, Feyzi E, Ghia P, Gregor M, Kater AP, Lindstrom V, Mattsson M, Niemann CU, Staber PB, Tadmor T, Thornton P, Wendtner CM, Janssens A, Noesslinger T, Bohn JP, da Cunha-Bang C, Poulsen CB, Ranti J, Illmer T, Schoettker B, Bottcher S, Gaska T, Vandenberghe E, Clifford R, Benjamini O, Frustaci AM, Scarfo L, Sportoletti P, Schreurs J, Levin MD, van der Straaten H, van der Klift M, Tran H, de la Serna J, Loscertales J, Lindblad O, Bergendahl Sandstedt A, Goede J, Baumann M, Fink AM, Fischer K, Ritgen M, Kreuzer KA, Schneider C, Tausch E, Stilgenbauer S, Robrecht S, Eichhorst B, Hallek M; CLL17 Trial Investigators. Fixed-Duration versus Continuous Treatment for Chronic Lymphocytic Leukemia. N Engl J Med. 2026 Mar 12;394(11):1084-1096. doi: 10.1056/NEJMoa2515458. Epub 2025 Dec 6.
PubMed 41358601
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Multicentre, Randomized, Prospective, Open-label Trial of Ibrutinib Monotherapy Versus Fixed-duration Venetoclax Plus Obinutuzumab Versus Fixed-duration Ibrutinib Plus Venetoclax in Patients With Previously Untreated Chronic Lymphocytic Leukaemia (CLL)
- ClinicalTrials.gov ID
- NCT04608318
- Acronym / sponsor ID
- CLL17 / CLL17
- Conditions
- Chronic Lymphoid Leukemia
- Keywords
- CLL
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 897 participants (estimated)
- Lead sponsor
- German CLL Study GroupUniversity, hospital or other
- Collaborators
- Stichting Hemato-Oncologie voor Volwassenen Nederland, Nordic CLL Study Group, Swiss Group for Clinical Cancer Research (SAKK), Cancer Trials Ireland, Gruppo Italiano Malattie EMatologiche dell'Adulto, Grupo Español de Leucemia Linfocítica Crónica (GELLC), The Israeli CLL Study Group (ICLLSG), Janssen Pharmaceutica N.V., Belgium, AbbVie, Hoffmann-La Roche
- Study start
- 1 Mar 2021 (actual)
- Primary completion
- Sep 2027 (estimated)
- Study completion
- Sep 2027 (estimated)
- First posted
- 29 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.
The aim of this study is to compare the efficacy of continuous ibrutinib monotherapy with fixed-duration venetoclax plus obinutuzumab and fixed-duration ibrutinib plus venetoclax by measuring progression-free survival (PFS) in patients with previously untreated CLL.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| I (Ibrutinib) | Experimental | Biological: IbrutinibIbrutinib p.o. will be administered until occurrence of unacceptable toxicity, progression of CLL or end of trial, whichever occurs first. |
| VG (Obinutuzumab + Venetoclax) | Experimental | Biological: Venetoclax, Biological: Obinutuzumab12 cycles (q 28d): Obinutuzumab i.v. + Venetoclax p.o. will be administered for 6 cycles, followed by 6 additional cycles of Venetoclax alone |
| VI (Venetoclax + Ibrutinib) | Experimental | Biological: Ibrutinib, Biological: Venetoclax15 cycles (q 28d): Ibrutinib p.o. + Venetoclax p.o. will be administered for a total of 12 cycles with a prior Ibrutinib monotherapy lead-in of 3 cycles |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Documented CLL requiring treatment according to iwCLL criteria.
- Age at least 18 years.
- Life expectancy ≥ 6 months.
- Ability and willingness to provide written informed consent and to adhere to the study visit schedule and other protocol requirements.
- Adequate bone marrow function independent of growth factor or transfusion support within 2 weeks of screening initiation as follows, unless cytopenia is due to CLL:
Key exclusion criteria (24 listed)
- Any prior CLL-specific therapies (except corticosteroid treatment administered due to necessary immediate intervention; within the last 10 days before start of study treatment, only dose equivalents up to 20 mg prednisolone are permitted).
- Transformation of CLL (Richter transformation). When Richter transformation is suspected, PET-CT and/or biopsy should be performed to rule out transformation.
- Patients with a history of PML.
- An individual organ/ system impairment score of 4 as assessed by the CIRS definition limiting the ability to receive the study treatment or any other life-threatening illness, medical condition or organ system dysfunction that, in the investigator´s opinion, could compromise the patients' safety or interfere with the absorption or metabolism of the study drugs (e.g. inability to swallow tablets or impaired resorption in the gastrointestinal tract).
- Malignancies other than CLL currently requiring systemic therapies, not being treated with curative intent before (unless the malignant disease is in a stable remission due to the discretion of the treating physician or showing signs of progression after curative treatment.
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 |
|---|---|---|
| IbrutinibAlso: ImbruvicaCycles 1 - X: 420 mg daily, d1-28 p.o. | Biological | I (Ibrutinib), VI (Venetoclax + Ibrutinib) |
| VenetoclaxAlso: ABT-199, VenclyxtoArm VG Cycle 1: 20 mg (2 tabl. at 10 mg), d22-28 p.o. Cycle 2: 50 mg (1 tabl. at 50 mg), d1-7; 100 mg (1 tabl. at 100 mg), d8-14; 200 mg (2 tabl. at 100 mg), d15-21; 400 mg (4 tabl. at 100 mg), d22-28 p.o. Cycles 3-12: 400 mg (4 tabl. at 100 mg), d1-28 p.o. Arm VI Cycle 4: 20 mg (2 tabl. at 10 mg), d1-7; 50 mg (1 tabl. at 50 mg), d8-14; 100 mg (1 tabl. at 100 mg), d15-21; 200 mg (2 tabl. at 100 mg), d22-28 p.o. Cycles 5-15: 400 mg (4 tabl. at 100 mg), d1-28 p.o. | Biological | VG (Obinutuzumab + Venetoclax), VI (Venetoclax + Ibrutinib) |
| ObinutuzumabAlso: GA101, GazyvaroCycle 1: (100 mg, d1 + 900 mg, d2) or 1000 mg, d1; 1000 mg, d8 + d15 i.v. Cycle 2 - 6: 1000 mg, d1 i.v. | Biological | VG (Obinutuzumab + Venetoclax) |
Primary outcome
Investigator-assessed progression-free survival (PFS)
Time frame: Up to 80 month
Time from randomization to the first occurrence of progression or relapse (determined using standard iwCLL guidelines), or death from any cause, whichever occurs first
9 secondary outcomes
Rates of undetectable minimal residual disease (uMRD) in peripheral blood (PB) and bone marrow (BM)
Time frame: At final restaging (RE): 18 months after start of treatment and additional BM assessment approx. 12 months after RE
MRD levels in PB at different time points
Time frame: Up to 80 month
Overall response rate (ORR)
Time frame: At final restaging (RE): 18 months after start of treatment
CR/CRi rate
Time frame: At final restaging (RE): 18 months after start of treatment
Event-free survival
Time frame: Up to 80 month
Time to next treatment
Time frame: Up to 80 month
PFS2
Time frame: Up to 80 month
Incidence of safety parameters such as adverse events (AE) and adverse events of particular/special interest (AEPI/AESI)
Time frame: Up to 80 month
Safety parameter TLS
Time frame: Up to 80 month
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Apr 2026.
- Derived from this study: PubMed 41358601Al-Sawaf O, Stumpf J, Zhang C, Simon F, Bosch F, Feyzi E, Ghia P, Gregor M, Kater AP, Lindstrom V, Mattsson M, Niemann CU, Staber PB, Tadmor T, Thornton P, Wendtner CM, Janssens A, Noesslinger T, Bohn JP, da Cunha-Bang C, Poulsen CB, Ranti J, Illmer T, Schoettker B, Bottcher S, Gaska T, Vandenberghe E, Clifford R, Benjamini O, Frustaci AM, Scarfo L, Sportoletti P, Schreurs J, Levin MD, van der Straaten H, van der Klift M, Tran H, de la Serna J, Loscertales J, Lindblad O, Bergendahl Sandstedt A, Goede J, Baumann M, Fink AM, Fischer K, Ritgen M, Kreuzer KA, Schneider C, Tausch E, Stilgenbauer S, Robrecht S, Eichhorst B, Hallek M; CLL17 Trial Investigators. Fixed-Duration versus Continuous Treatment for Chronic Lymphocytic Leukemia. N Engl J Med. 2026 Mar 12;394(11):1084-1096. doi: 10.1056/NEJMoa2515458. Epub 2025 Dec 6.
- Click here for more information about this study: CLL17 (German CLL Study Group)Link provided by the sponsor.
- 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.
Othman Al-Sawaf, Dr. med. principal investigator
German CLL Study Group
181 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ibrutinib, Venetoclax and Obinutuzumab in people with Chronic Lymphoid Leukemia, run by German CLL Study Group at 181 sites in 13 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 13 inclusion and 24 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: under way, not looking for participants, as of the sponsor's last update on 30 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 181 sites in Germany, Netherlands, Switzerland, Spain, Sweden and 8 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 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?
This study is still under way. Results are not available in the source record yet.
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?
Investigator-assessed progression-free survival (PFS) (time frame: Up to 80 month). 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 NCT04608318, 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 30 Apr 2026.