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Sponsor: Hoffmann-La Roche
Conditions: Chronic Lymphocytic Leukemia (CLL)
Interventions: Obinutuzumab, Venetoclax, Fludarabine, Cyclophosphamide, Rituximab
Countries: United States, Australia, France, Italy, Spain
This study will evaluate the efficacy and safety of venetoclax and obinutuzumab (VEN + G) compared with fludarabine + cyclophosphamide + rituximab or bendamustine + rituximab (FCR/BR) in FIT participants (FIT is defined by a cumulative illness rating scale \[CIRS\]/score of ≤6 and a normal creatinine clearance of ≥70 mL/min) with previously untreated CLL without DEL(17P) or TP53 mutation requiring treatment. Eligible participants will be randomly assigned in a 1:1 ratio to receive either VEN + G (Arm A) or FCR/BR (Arm B).
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Ability to comply with the study protocol, in the investigator's judgment * Aged 18 years or older * Have previously untreated documented Chronic Lymphocytic Leukemia (CLL) according to the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria * CLL requiring treatment according to the iwCLL criteria * Cumulative Illness Rating Scale (CIRS) score ≤ 6 and creatinine clearance (CrCl) ≥ 70 mL/min * Hematology values within the following limits, unless cytopenia is caused by the underlying disease (i.e., no evidence of additional bone marrow (BM) dysfunction; e.g., myelodysplastic syndrome, hypoplastic BM): * Absolute neutrophil count ≥ 1.0 x 109/L, unless there is BM involvement * Platelet count ≥ 75 x 109/L and more than 7 days since last transfusion, or ≥ 30 x 109/L if there is BM involvement * Adequate liver function as indicated by a total bilirubin, aspartate aminotransferase, and Alanine transaminase ≤ 2 times the institutional upper limit of normal (ULN) value, unless directly attributable to the participant's CLL * Life expectancy \>6 months * For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception and agreement to refrain from donating eggs * For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods, and agreement to refrain from donating sperm Exclusion Criteria: * Transformation of CLL to aggressive Non-Hodgkin's Lymphoma (NHL) * Participants with Small Lymphocyclic Lymphoma (SLL) only * Known central nervous system involvement * Participants with a history of confirmed progressive multifocal leukoencephalopathy (PML) * Detected del(17p) or TP53 mutation (valid test within 6-months from screening is required for randomisation) * An individual organ/system impairment score of 4 as assessed by the Cumulative Illness Rating Scale (CIRS) definition limiting the ability to receive the treatment regimen of this trial with the exception of eyes, ears, nose, throat organ system * Participants with uncontrolled autoimmune hemolytic anemia or immune thrombocytopenia * History of prior malignancy * Participants with infections requiring IV treatment (Grade 3 or 4) within the last 8 weeks prior to enrollment * Evidence of other clinically significant uncontrolled conditions including but not limited to active or uncontrolled systemic infection (e.g., viral, bacterial, or fungal) * History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products * Hypersensitivity to fludarabine, bendamustine, cyclophosphamide, rituximab, obinutuzumab, or venetoclax or to any of the excipients (e.g., trehalose) * Pregnant women and nursing mothers * Vaccination with a live vaccine ≤ 28 days prior to randomization * Prisoners or participants who are institutionalized by regulatory or court order or persons who are in dependence to the Sponsor or an investigator * History of illicit drug or alcohol abuse within 12 months prior to screening, in the investigator's judgment * Positive test results for chronic hepatitis B virus (HBV) infection (defined as positive hepatitis B surface antigen \[HBsAg\] serology) * Positive test result for hepatitis C (hepatitis C virus \[HCV\] antibody serology testing) * Participants with known infection with HIV or Human T-Cell Leukemia Virus 1 (HTLV-1) * Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the participant's safe participation in and completion of the study * Received any of the following agents within 28 days prior to the first dose of study treatment: * Immunotherapy * Radiotherapy * Hormone therapy * Any therapies intended for the treatment of lymphoma/leukemia whether approved or experimental * Participants who have received the following agents: * Strong and moderate CYP3A inhibitors/inducers within 7 days prior to the initiation of study treatment * Steroid therapy for anti-neoplastic intent with the exception of inhaled steroids for asthma, topical steroids, or replacement/stress corticosteroids within 7 days prior to the first dose of study drug administration * Consumed grapefruit, grapefruit products, Seville oranges(including marmalade containing Seville oranges), or star fruit within 3 days prior to the first dose of study drug and throughout venetoclax administration * Inability to swallow a large number of tablets.
- Aurora, Colorado, United States
- Bethesda, Maryland, United States
- Knoxville, Tennessee, United States
- Roanoke, Virginia, United States
- Canberra, Australian Capital Territory, Australia
- Liverpool, New South Wales, Australia
- Port Macquarie, New South Wales, Australia
- St Leonards, New South Wales, Australia
- Hobart, Tasmania, Australia
- Clayton, Victoria, Australia
- Melbourne, Victoria, Australia
- Melbourne, Victoria, Australia
- Pessac, Aquitaine, France
- Tours, Indre-et-Loire, France
- Perpignan, Languedoc-Roussillon, France
- Lille, Nord, France
- Toulon, Provence-Alpes-Côte d'Azur Region, France
- Pierre-Bénite, Rhône, France
- Créteil, Val-de-Marne, France
- Caen, France
- Le Mans, France
- Poitiers, France
- Reims, France
- Bari, Apulia, Italy
- Lecce, Apulia, Italy
- Modena, Emilia-Romagna, Italy
- Rome, Lazio, Italy
- Rome, Lazio, Italy
- Genoa, Liguria, Italy
- Milan, Lombardy, Italy
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