Understanding resistance to venetoclax in chronic lymphocytic leukemia
Official title: Venetoclax Resistance Landscape in Chronic Lymphocytic Leukemia
Run by University Hospital, Clermont-Ferrand · NCT05246345 · Data updated 2026-11-12
This study is trying to understand why some patients with chronic lymphocytic leukemia don’t respond to the treatment venetoclax by looking at their medical information and samples.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | University Hospital, Clermont-Ferrand Academic / other |
| Locations | 14 sites (Amiens and 13 other locations) |
| Status | Recruiting |
| Started | March 7, 2022 |
| Main results expected | March 2027 |
| Study ends | March 2027 |
| Registry record updated | January 9, 2024 |
| Trial ID | NCT05246345 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older with a diagnosis of refractory or relapsed chronic lymphocytic leukemia during or after venetoclax treatment.
✕Probably not a fit
Patients who are not undergoing venetoclax treatment or do not have available tumor samples may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to gather medical information and biological samples from patients with refractory or relapsed chronic lymphocytic leukemia (CLL) who are undergoing or have undergone treatment with venetoclax. The focus is on evaluating the frequency of resistance mechanisms, including BCL2 mutations and changes in energy metabolism. By analyzing blood, bone marrow, and lymph node samples, the study seeks to provide insights into how CLL can resist venetoclax treatment.
Why it matters
Potential benefit: If successful, this study could lead to improved understanding of resistance mechanisms in CLL, potentially guiding more effective treatment strategies.
How similar studies have gone: While studies on venetoclax resistance exist, this specific observational approach focusing on resistance mechanisms in CLL is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age greater than or equal to 18 years old; * chronic lymphocytic leukemia diagnosis according to iwCLL criteria; * refractory and/or relapsed disease during or after venetoclax treatment; * tumor samples available. * Relapse might be progressive chronic lymphocytic leukemia or transformation into Richter syndrome. * Patients must be able to express their opposition to be enrolled in this study, if need be. * Patients must be affiliated at the French Social Security system Exclusion Criteria: Patients of their legal guardians refusing to participate \-
Where it's running
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CHU de Reims
Reims, France Recruiting -
CHU d'Amiens
Amiens, France Not yet recruiting -
CHU de Besançon
Besançon, France Not yet recruiting -
Hopital AVICENNE
Bobigny, France Not yet recruiting -
CHU clermont-ferrand
Clermont-Ferrand, France Not yet recruiting -
CHU de Clermont Ferrand
Clermont-Ferrand, France Not yet recruiting
Show 8 more locations
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CHU Grenoble
Grenoble, France Not yet recruiting -
CHRU de Lille
Lille, France Not yet recruiting -
Centre LEON BERARD
Lyon, France Not yet recruiting -
CHU de Montpellier
Montpellier, France Not yet recruiting -
CHU Nancy
Nancy, France Not yet recruiting -
Hopital Pitié Salpetrière
Paris, France Not yet recruiting -
Hopital Haut LEVEQUE
Pessac, France Not yet recruiting -
IUCT Oncopole
Toulouse, France Not yet recruiting
Study contacts
- Principal investigator: Romain GUIEZE — University Hospital, Clermont-Ferrand
- Study coordinator: Lise Laclautre
- Email: promo_interne_drci@chu-clermontferrand.fr
- Phone: 334.73.754.963
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Epcoritamab given after 2nd-generation BTK inhibitors for CLL/SLL
This trial will try giving subcutaneous epcoritamab for up to 12 cycles to adults with CLL/SLL who have been on a second‑generation BTK inhibitor for at least 12 months to see if it can deepen responses to a complete remission with undetectable MRD so therapy can be stopped.
-
Comparing BGB-16673 to standard treatments for chronic lymphocytic leukemia
This study is testing a new treatment called BGB-16673 to see if it works better than standard options for people with chronic lymphocytic leukemia who have already tried other therapies.
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Combination treatment for chronic lymphocytic leukemia and lymphoma
This study is testing a new combination treatment with sonrotoclax and either zanubrutinib or rituximab to see if it can help patients with chronic lymphocytic leukemia, small lymphocytic lymphoma, and mantle cell lymphoma.
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Investigating a new dosing schedule for sonrotoclax in blood cancer treatment
This study is testing new ways to give the drug sonrotoclax to see if it can safely help people with chronic lymphocytic leukemia (CLL) feel better.
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Low-dose Liposomal Amphotericin B for preventing fungal infections in adults with blood cancers and prolonged neutropenia
This study tests whether giving a daily 50 mg dose of liposomal amphotericin B can help prevent invasive fungal infections in adults with blood cancers who have prolonged low white blood cell counts.
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Venetoclax plus Zanubrutinib for CLL/SLL in frontline or previously treated patients
This phase II trial tests if venetoclax plus zanubrutinib can safely and effectively treat adults with chronic lymphocytic leukemia or small lymphocytic lymphoma, including those who are newly diagnosed and those who have had prior therapy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.