Customizing Ibrutinib Treatment for Chronic Lymphocytic Leukemia
Multicohort Study to Customize Ibrutinib Treatment Regimens for Patients With Previously Untreated Chronic Lymphocytic Leukemia
This study is testing two different ways to use the drug ibrutinib for people with newly diagnosed chronic lymphocytic leukemia to see which method works best and is safest.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Enrollment | 320 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | ibruinib, ibrutinib, prednisone |
| Locations | 73 sites (Cerritos, California and 72 other locations) |
| Trial ID | NCT05963074 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness and safety of two treatment regimens for patients with previously untreated chronic lymphocytic leukemia (CLL) using ibrutinib, both in combination with venetoclax and as a standalone therapy. The dosing of ibrutinib will be adjusted either proactively or reactively based on the occurrence of adverse events. Participants will be monitored for measurable nodal disease to assess treatment response. The study aims to optimize treatment strategies for better patient outcomes.
Who should consider this trial
Good fit: Ideal candidates include individuals diagnosed with chronic lymphocytic leukemia or small lymphocytic lymphoma who meet specific performance status criteria.
Not a fit: Patients with uncontrolled autoimmune hemolytic anemia or idiopathic thrombocytopenia purpura may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to more personalized and effective treatment regimens for patients with chronic lymphocytic leukemia.
How similar studies have performed: Other studies have shown promise in using personalized treatment approaches for CLL, suggesting potential success for this novel methodology.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of chronic lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL) as per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 diagnostic criteria * For ibruinib + venetocIax (I+V) cohorts: eastern cooperative oncology group (ECOG) performance status of 0-1. For ibrutinib monotherapy cohorts: ECOG performance status of 0-2 * Measurable nodal disease by computed tomography (CT), defined as at least 1 lymph node greater than and equal to (\>=) 1.5 centimeters (cm) in longest diameter * A participant using oral contraceptives must use an additional contraceptive method * A participant must agree not to be pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or until 1 month after last dose or per local label if more conservative (for example, 3 months in European Union or Canada and 1 month in United States) Exclusion Criteria: * Uncontrolled autoimmune hemolytic anemia or idiopathic thrombocytopenia purpura, such as those participants with a declining hemoglobin level or platelet count secondary to autoimmune destruction within the 4 weeks prior to first dose of study treatment, or the need for prednisone greater than (\>) 20 milligrams (mg) daily (or corticosteroid equivalent) to treat or control the autoimmune disease * Known bleeding disorders (example, von Willebrand's disease or hemophilia) * Stroke or intracranial hemorrhage within 6 months prior to enrollment * Known or suspected Richter's transformation or central nervous system (CNS) involvement * Currently active, clinically significant cardiovascular disease, such as uncontrolled arrhythmia or Class II, III, or IV congestive heart failure as defined by the New York Heart Association Functional Classification
Where this trial is running
Cerritos, California and 72 other locations
- The Oncology Institute Clinical Research — Cerritos, California, United States (Recruiting)
- Cancer and Blood Specialty Clinic — Los Alamitos, California, United States (Recruiting)
- SLO Oncology and Hematology Health Center — San Luis Obispo, California, United States (Recruiting)
- Providence Medical Foundation — Santa Rosa, California, United States (Recruiting)
- PIH Health Hospital — Whittier, California, United States (Recruiting)
- Grand Valley Oncology — Grand Junction, Colorado, United States (Recruiting)
- Mount Sinai Medical Center Campus — Miami Beach, Florida, United States (Recruiting)
- The Oncology Institute — North Miami Beach, Florida, United States (Recruiting)
- Mid Florida Hematology Oncology — Orange, Florida, United States (Recruiting)
- Boise VA Medical Center — Boise, Idaho, United States (Recruiting)
- Hope and Healing Cancer Services — Hinsdale, Illinois, United States (Recruiting)
- Springfield Clinic — Springfield, Illinois, United States (Recruiting)
- Iowa City VA Health Care System — Iowa City, Iowa, United States (Recruiting)
- Minnesota Oncology Hematology P A — Minneapolis, Minnesota, United States (Recruiting)
- Research Medical Center — Kansas City, Missouri, United States (Recruiting)
- Hunterdon Hematology Oncology — Flemington, New Jersey, United States (Recruiting)
- Summit Medical Group — Florham Park, New Jersey, United States (Completed)
- Hematology Oncology Associates of Rockland — Nyack, New York, United States (Recruiting)
- Southeastern Medical Oncology Center — Goldsboro, North Carolina, United States (Completed)
- Oncology Hematology Care — Cincinnati, Ohio, United States (Recruiting)
- Willamette Valley Cancer Institute and Research Center — Eugene, Oregon, United States (Recruiting)
- OHSU Knight Cancer Institute — Portland, Oregon, United States (Recruiting)
- Texas Oncology-Fort Worth Cancer Center — Fort Worth, Texas, United States (Recruiting)
- The University of Texas MD Anderson Cancer Center — Houston, Texas, United States (Recruiting)
- Renovatio Clinical 1 — The Woodlands, Texas, United States (Completed)
- Texas Oncology-Gulf Coast — The Woodlands, Texas, United States (Recruiting)
- Community Cancer Trials of Utah — Ogden, Utah, United States (Recruiting)
- Virginia Cancer Specialists — Manassas, Virginia, United States (Recruiting)
- Virginia Oncology Associates — Virginia Beach, Virginia, United States (Recruiting)
- VA Puget Sound Healthcare System — Seattle, Washington, United States (Recruiting)
- Northwest Cancer Specialists PC — Vancouver, Washington, United States (Recruiting)
- QEII Health Sciences Centre — Halifax, Nova Scotia, Canada (Recruiting)
- Niagara Health System — St. Catharines, Ontario, Canada (Recruiting)
- Fakultni nemocnice Brno — Brno-Bohunice, Czechia (Recruiting)
- Fakultni nemocnice Hradec Kralove — Hradec Králové, Czechia (Recruiting)
- Fakultni nemocnice Olomouc — Olomouc, Czechia (Recruiting)
- Fakultni Nemocnice Ostrava — Ostrava - Poruba, Czechia (Recruiting)
- Fakultni nemocnice Kralovske Vinohrady — Prague, Czechia (Recruiting)
- Ustav Hematologie A Krevni Transfuze — Prague, Czechia (Recruiting)
- CHU de Clermont Ferrand — Clermont-Ferrand, France (Completed)
- CHU Nantes — Nantes, France (Recruiting)
- Hopital Pitie Salpetriere — Paris, France (Recruiting)
- CHU Lyon Sud — Pierre-Bénite, France (Recruiting)
- CHU de Reims — Reims, France (Recruiting)
- Institut de Cancerologie Strasbourg Europe ICANS — Strasbourg, France (Completed)
- Semmelweis Egyetem — Budapest, Hungary (Recruiting)
- Gyor Moson Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz — Győr, Hungary (Recruiting)
- Szabolcs Szatmar Bereg Varmegyei Oktatokorhaz — Nyíregyháza, Hungary (Recruiting)
- University of Szeged — Szeged, Hungary (Recruiting)
- U.O. Ematologia Istituto Tumori Giovanni Paolo II — Bari, Italy (Recruiting)
+23 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.