A Study Evaluating the Efficacy of Venetoclax Plus Ibrutinib in Participants With T-cell Prolymphocytic Leukemia

NCT ID: NCT03873493

Last Updated: 2022-12-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-14

Study Completion Date

2021-11-04

Brief Summary

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The main objective of this study is to evaluate the efficacy of the combination of venetoclax plus ibrutinib for treating adults with T-cell prolymphocytic leukemia (T-PLL).

Detailed Description

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This study is planned as an adaptive 2-stage design as follows:

Stage 1: Enroll 14 participants with relapsed or refractory (R/R) T-PLL and move to Stage 2 if 4 or more participants meet protocol-specified response criteria. Response assessment will be performed on a continued basis until all 14 participants have enrolled into Stage 1 and have completed the Week 24 disease assessment.

Stage 2: Enroll up to an additional 23 participants.

The study was stopped after Stage 1. Stage 2 was not conducted.

Conditions

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Leukemia T-cell Prolymphocytic Leukemia (T-PLL) Cancer

Keywords

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T-cell Prolymphocytic Leukemia (T-PLL) Cancer Venetoclax Venclexta Venclyxto Ibrutinib Imbruvica Relapsed or Refractory T-lymphoid malignancy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Venetoclax + Ibrutinib

Participants received 400 mg venetoclax orally once a day after a 5-day ramp-up and 420 mg ibrutinib orally once a day for up to 2 years or until progressive disease, intolerability, or they became eligible for stem cell transplantation after achieving complete remission.

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Venetoclax tablets taken orally once a day (QD). Initially, venetoclax was administered utilizing a 5-step dose ramp-up over 5 days. Subjects were hospitalized and closely monitored for 7 days. The venetoclax ramp-up was administered in a daily manner: 20 mg on Week 1 Day 1, 50 mg on Week 1 Day 2, 100 mg on Week 1 Day 3, 200 mg on Week 1 Day 4, and 400 mg on Week 1 Day 5 and thereafter, once daily, until the end-of-treatment. The dose of venetoclax may have been increased to 600 mg QD at Week 8 or thereafter.

Ibrutinib

Intervention Type DRUG

Ibrutinib capsules taken orally once a day, 420 mg/day until the end-of-treatment.

Interventions

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Venetoclax

Venetoclax tablets taken orally once a day (QD). Initially, venetoclax was administered utilizing a 5-step dose ramp-up over 5 days. Subjects were hospitalized and closely monitored for 7 days. The venetoclax ramp-up was administered in a daily manner: 20 mg on Week 1 Day 1, 50 mg on Week 1 Day 2, 100 mg on Week 1 Day 3, 200 mg on Week 1 Day 4, and 400 mg on Week 1 Day 5 and thereafter, once daily, until the end-of-treatment. The dose of venetoclax may have been increased to 600 mg QD at Week 8 or thereafter.

Intervention Type DRUG

Ibrutinib

Ibrutinib capsules taken orally once a day, 420 mg/day until the end-of-treatment.

Intervention Type DRUG

Other Intervention Names

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ABT-199 GDC-0199 Venclexta® Venclyxto® Imbruvica®

Eligibility Criteria

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Inclusion Criteria

* Adequate liver, kidney and hematology function per laboratory values as described in the protocol.
* Diagnosis of T-cell prolymphocytic leukemia (T-PLL) that requires treatment.
* Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2.
* Received prior alemtuzumab (unless unsuitable or unavailable).
* Has no malignancies other than T-PLL that:

* currently require systemic therapies;
* were not previously treated with curative intention (unless the malignant disease is in a stable remission due to the discretion of the treating physician); or
* developed signs of progression after curative treatment.

Exclusion Criteria

* History of or current decompensated cirrhosis including Child-Pugh class B or C, ascites, hepatic encephalopathy, or variceal bleeding.
* Has human T-cell lymphotropic virus, type 1.
* Prior allogeneic stem cell transplant within 6 months of study drug administration and requirement for graft versus host therapy.
* Has an uncontrolled or active infection including severe acute respiratory syndrome- coronavirus-2 (SARS-COV-2).
* Previously treated with a B-cell lymphoma (BCL)-2 inhibitor.
* Received a prohibited therapy within the specified time frame as described in the protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Dana-Farber Cancer Institute /ID# 207728

Boston, Massachusetts, United States

Site Status

Mayo Clinic - Rochester /ID# 207692

Rochester, Minnesota, United States

Site Status

University of Texas MD Anderson Cancer Center /ID# 207746

Houston, Texas, United States

Site Status

Peter MacCallum Cancer Ctr /ID# 209554

Melbourne, Victoria, Australia

Site Status

Medizinische Universitaet Wien /ID# 208497

Vienna, Vienna, Austria

Site Status

Helsinki University Hospital /ID# 208108

Helsinki, Uusimaa, Finland

Site Status

HCL - Hôpital Lyon Sud /ID# 208731

Pierre-Bénite, Auvergne-Rhône-Alpes, France

Site Status

CHRU Lille - Hopital Claude Huriez /ID# 208726

Lille, Hauts-de-France, France

Site Status

Hopital Pitie Salpetriere /ID# 208730

Paris, , France

Site Status

University Hospital Cologne /ID# 208834

Cologne, , Germany

Site Status

Azienda Sanitaria Universitaria Giuliano Isontina /ID# 211487

Trieste, , Italy

Site Status

Maxima Medisch Centrum /ID# 207989

Eindhoven, , Netherlands

Site Status

Universitair Medisch Centrum Groningen /ID# 207990

Groningen, , Netherlands

Site Status

Oxford University Hospitals NHS Foundation Trust /ID# 211264

Oxford, Oxfordshire, United Kingdom

Site Status

The Royal Marsden NHS Foundation Trust /ID# 211263

London, , United Kingdom

Site Status

Countries

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United States Australia Austria Finland France Germany Italy Netherlands United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://www.rxabbvie.com

This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.

Other Identifiers

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2018-002179-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M18-803

Identifier Type: -

Identifier Source: org_study_id