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ABT-199

Phase 1

Chronic Lymphocytic Leukemia | Small molecule | Oncology |AbbVie Inc.|Last Updated: Feb 23, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment222
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01328626A Phase 1 Study Evaluating the Safety and Pharmacokinetics of ABT-199 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia and Non-Hodgkin LymphomaPHASE1 COMPLETED 222May 23, 2011May 8, 2020Feb 23, 202210 United States, Australia
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Study Endpoints
Primary Endpoints
Determination of dose limiting toxicity (DLT), maximum tolerated dose (MTD), recommended phase two dose (RPTD), and lead-in period regimen
Lead-in period (2-5 weeks) plus 3 weeks of study drug administration at the designated cohort dose (continuous dosing)

Protocol-defined events, which can not be attributed by the investigator to a clearly identifiable cause such as tumor progression, underlying illness, concurrent illness, or concomitant medication, will be considered a DLT. Dose limiting toxicities of tumor lysis syndrome observed during the lead-in period will be attributed to the lead-in period.

Number of subjects with adverse events
First 16 weeks of study drug administration and every 4 weeks thereafter (continuous dosing for an anticipated maximum duration of 9 months)
Determination of plasma peak concentration (Cmax) of ABT-199
Up to Week 24 for ABT-199

Blood and urine samples for pharmacokinetic analysis of ABT-199 will be collected at designated time points

Determination of trough concentration (Ctrough) of ABT-199
Up to Week 24 for ABT-199

Blood and urine samples for pharmacokinetic analysis of ABT-199 will be collected at designated time points

Determination of area under the concentration versus time curve (AUC) of ABT-199
Up to Week 24 for ABT-199

Blood and urine samples for pharmacokinetic analysis of ABT-199 will be collected at designated time points

Secondary Endpoints
Food Effect - Cmax
Approximately 3 days
Preliminary efficacy assessment
Starting Week 4 for clinical disease progression and Week 6 for tumor response; and every 4 weeks thereafter (continuous dosing for an anticipated maximum duration of 9 months)
Minimal residual disease collection (MRD)
At least 2 months after the CR, CRi criteria for tumor response are first met. Every 12 weeks thereafter, until MRD negativity has been achieved (in peripheral blood).
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A (CLL/SLL subjects)EXPERIMENTALChronic lymphocytic leukemia (CLL) and small lymphocytic lymphoma (SLL) subjects
Arm B (NHL subjects)EXPERIMENTALNon-Hodgkin lymphoma (NHL) subjects
Interventions
NameTypeDescription
ABT-199DRUGArm A (Cohorts 1-8) and Arm B (Cohort 1-6): Subjects in dose escalation phase will receive 1 dose of ABT-199, followed by 6 days off drug, followed by continuous once daily dosing with ABT-199. Arm B (Cohorts 7+): Subjects in dose escalation phase will receive continuous once daily dosing with ABT-199. Arm A and Arm B: Subjects in expanded safety cohort will receive continuous once daily dosing with ABT-199.
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Eligibility Criteria
Age Range18 Years — 99 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Subject must have either: * (Arm A) relapsed or refractory CLL/SLL and require treatment in the opinion of the Investigator. Subject must have relapsed following or be refractory to standard treatments such as fludarabine based regimens (F, FC, FR, FCR) or alkylator (chlora...

Countries:United StatesAustralia
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