Why some people with chronic lymphocytic leukemia respond to BTK degrader drugs

Determinants of the Response to BTK Degraders (BTKd) in Chronic Lymphocytic Leukemia

Observational Nantes University Hospital · NCT07099443

This project collects blood, bone marrow, or leftover lymph node samples from adults with CLL who are candidates for or have received BTK degrader drugs to see why some people respond and others become resistant.

Quick facts

Study typeObservational
Enrollment60 (estimated)
Ages18 Years and up
SexAll
SponsorNantes University Hospital Academic / other
Locations14 sites (Angers and 13 other locations)
Trial IDNCT07099443 on ClinicalTrials.gov

What this trial studies

This observational cohort creates a biobank of blood, bone marrow and residual lymph node biopsy samples from CLL patients who are candidates for or have been exposed to BTK degraders. Extra samples are collected alongside routine clinical care after informed consent, with no experimental treatment assigned by the protocol. Laboratory analyses will be used to study molecular mechanisms of response and resistance to BTK degraders, particularly in patients previously treated with BTK and BCL-2 inhibitors. The cohort is led by Nantes University Hospital with sample collection at participating centers in Angers and Bordeaux, France.

Who should consider this trial

Good fit: Adults with CLL who are candidates for or have been treated with BTK degrader drugs, can give informed consent, and are covered by French social security are eligible.

Not a fit: Children, adults under guardianship, and other legally protected persons are excluded and are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, the biobank could identify biomarkers that predict response or resistance to BTK degraders and guide better treatment choices for CLL patients.

How similar studies have performed: Biobanking and molecular studies have previously identified resistance mechanisms to BTK inhibitors, but applying these methods specifically to the new class of BTK degraders is novel and early-stage.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient with CLL candidates ou exposed to BTKd
* Patient who has provided informed consent to participate in the study.
* Patient covered by a social security health insurance plan

Exclusion Criteria:

* Minor patients.
* Adults under guardianship.
* Protected persons.

Where this trial is running

Angers and 13 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Chronic Lymphocytic LeukemiaBTK DegradersBruton tyrosine kinase inhibitorsBCL-2 inhibitorsBTK degraders
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.