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ABT-263

Phase 2

Chronic Lymphocytic Leukemia | Small molecule | Oncology |AbbVie Inc.|Last Updated: Feb 20, 2025

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials3
Total Enrollment210

FDA Designations

No designations recorded

Clinical trial landscape

ABT-263 · 11 trials · 13 indications

Phase 2 1Phase 1 10
NCT01087151A Study of ABT-263 in Combination With Dose-Intensive Rituximab, or Dose-Intensive Rituximab Alone, in Previously Untreated Patients With B-Cell, Chronic Lymphocytic Leukemia (CLL)Chronic Lymphocytic Leukemia
COMPLETED118 Analytics
PHASE2COMPLETED
A Study of ABT-263 in Combination With Dose-Intensive Rituximab, or Dose-Intensive Rituximab Alone, in Previously Untreated Patients With B-Cell, Chronic Lymphocytic Leukemia (CLL)
Chronic Lymphocytic LeukemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free survival
From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from First Patient In [FPI])
Assess the safety profile, characterize pharmacokinetics, and determine the MTD and recommended Phase 2 dose (RPTD) of ABT-263 when administered in combination with either FCR or BR in subjects with relapsed or refractory CLL.
Safety assessments = 1 wk, Pharmacokinetic (PK) Sampling = 1 wk for 1st 2 cycles, then, every other cycle starting Cycle 3 to Cycle 9, Determination of MTD & RPTD = Every 60 days
Assess the safety profile of ABT-263 when administered in combination with etoposide/cisplatin in subjects with Cancer.
Weekly
Characterize the pharmacokinetics of ABT-263 when administered in combination with etoposide/cisplatin .
Weekly
Determine the maximum tolerable dose (MTD) of ABT-263 when administered in combination with etoposide/cisplatin.
Weekly
Determine the recommended Phase 2 dose (RPTD) of ABT-263 when administered in combination with etoposide/cisplatin.
Weekly
Assessment of Oral Bioavailability
Two Period and Three Period crossover design

Assess the oral bioavailability of Formulation B1, Formulation B2, Formulation C, and Formulation D relative to that of Formulation A being assessed in ongoing Phase 1/2a ABT-263 studies

Arm A
Weekly

• assess the safety profile of ABT-263 in combination with erlotinib; • study the pharmacokinetic interaction between ABT-263 and erlotinib; • determine the maximum tolerated dose (MTD) of ABT-263 when administered with erlotinib

Arm B
Weekly

• assess the safety profile of ABT-263 in combination with irinotecan; • study the pharmacokinetic interaction between ABT-263 and irinotecan; • determine the maximum tolerated dose (MTD) of ABT-263 when administered with irinotecan.s

Arm C
Weekly

• assess the safety profile of ABT-263 as a monotherapy

Assess the safety profile of ABT-263 in combination with gemcitabine.
Weekly
Study the pharmacokinetic interaction between ABT-263 and gemcitabine.
Weekly
Determine the maximum tolerated dose (MTD) of ABT-263 in combination with gemcitabine.
Weekly
Extension Study: Continued assessment of the safety profile of ABT-263 when administered in combination with rituximab
Safety will be assessed until the participant discontinues the extension portion of the study.
Assess the safety profile and characterize the pharmacokinetics of ABT-263 when administered in combination with rituximab
Safety and pharmacokinetics will be assessed until the participant discontinues the study or transitions to the extension portion of the study (whichever comes first).
Determination of dose limiting toxicity (DLT) and maximum tolerated dose (MTD) when ABT-263 is administered in combination with rituximab
DLTs and MTD will be assessed after all participants in a dose level have completed the lead-in period plus 28 days if dosing with ABT-263 and rituximab
Safety Assessment
Weekly

Evaluate safety at the defined recommended Phase 2 dose (RPTD) and schedule of ABT-263 in combination with Paclitaxel

Efficacy Assessment
Bi-monthly

Evaluate preliminary data regarding objective response rate (ORR), progression free survival (PFS), time to tumor progression (TTP), overall survival (OS), duration of overall response, and, ECOG performance status

Phase 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to Adverse Events (AEs)
From first dose of study drug to 30 days post-last dose. Participants enrolled in the 14/21-day cycle received a mean of 21.7 treatment cycles; participants enrolled in the 21/21-day cycle received a mean of 19.4 treatment cycles.

An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An SAE is one that: results in death, hospitalization, prolongation of hospitalization, or persistent or significant disability/incapacity; is life-threatening, a congenital anomaly, or other important medical event. Events were graded as 1=mild, 2=moderate, 3=severe, 4=life-threatening, or 5=death. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. A treatment-emergent adverse event is defined as any adverse event with onset or worsening reported by a subject from the time that the first dose of study drug is administered until 30 days have elapsed following discontinuation of study drug administration. Deaths category included non treatment emergent deaths.

Phase 1: Number of Participants With DLTs in the Dose Escalation Phase
Cycle 1 (Up to 21 days) plus 7 days

DLTs were graded according to NCI CTCAE version 3.0 (grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=life threatening; grade 5=death). Any of the following events, considered possibly or probably related to the administration of navitoclax, were considered a DLT: Grade 4 thrombocytopenia (\< 25,000/mm\^3); platelet counts \< 25,000/mm\^3, Grade 2 or higher bleeding associated with thrombocytopenia; all other Grade 3, 4 or 5 adverse events were considered a DLT. Exceptions included: Grade 3, 4 febrile neutropenia less than 7 days; Grade 3, 4 leukopenia; Grade 3, 4 lymphopenia; Grade 3 nausea, vomiting and/or diarrhea unless unresponsive to treatment; Grade 2 toxicity that requires dose modification or delay of \> 1 week.

Phase 1: Maximum Tolerated Dose (MTD) in the Dose Escalation Phase
Cycle 1 (Up to 21 days) plus 7 days

The MTD was defined as the dose at which 30% of participants experienced a DLT during the first cycle. DLTs were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 3.0 (grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=life threatening; grade 5=death). Any of the following events, considered possibly or probably related to the administration of navitoclax, were considered a DLT: Grade 4 thrombocytopenia (\< 25,000/mm\^3); platelet counts \< 25,000/mm\^3, Grade 2 or higher bleeding associated with thrombocytopenia; all other Grade 3, 4 or 5 adverse events were considered a DLT. Exceptions included: Grade 3, 4 febrile neutropenia less than 7 days; Grade 3, 4 leukopenia; Grade 3, 4 lymphopenia; Grade 3 nausea, vomiting and/or diarrhea unless unresponsive to treatment; Grade 2 toxicity that requires dose modification or delay of \> 1 week.

Phase 1: Recommended Phase 2 Dose (RPTD) Determined in the Dose Escalation Phase
Cycle 1 (Up to 21 days) plus 7 days

The RPTD was determined based on observed DLTs and/or determination of the MTD in phase 1. (See Outcome Measures 2 and 3 above for definition of DLT and MTD.)

Phase 1: Time to Maximum Observed Plasma Concentration (Tmax) of Navitoclax
Cycle 1 Days 1 and 14: pre-dose, 2, 4, 6, 8 hours post-dose
Phase 1: Maximum Observed Plasma Concentration (Cmax)
Cycle 1 Days 1 and 14: pre-dose, 2, 4, 6, 8 hours post-dose
Phase 1: Area Under the Plasma Concentration-Time Curve From Time 0 to Hour 8 (AUC8)
Cycle 1 Days 1 and 14: pre-dose, 2, 4, 6, 8 hours post-dose
Phase 1: Area Under the Plasma Concentration-Time Curve From Time 0 to Hour 24 (AUC24)
Cycle 1 Day 1: pre-dose, 2, 4, 6, 8, and 24 hours post-dose; Cycle 1 Days 14: pre-dose, 2, 4, 6, 8

The AUC24 was derived and reported from Cycle 1 Day 1 values and Cycle 1 Day 14 values; the pre-dose value taken on Day 14 was utilized as 24-hour timepoint on Day 14 to generate AUC24 for Day 14.

Phase 1: Cmax/Dose
Cycle 1 Days 1 and 14: pre-dose, 2, 4, 6, 8 hours post-dose
Phase 1: AUC8/Dose
Cycle 1 Days 1 and 14: pre-dose, 2, 4, 6, 8 hours post-dose
Phase 1: AUC24/Dose
Cycle 1 Day 1: pre-dose, 2, 4, 6, 8, and 24 hours post-dose; Cycle 1 Days 14: pre-dose, 2, 4, 6, 8

The AUC24 was derived and reported from Cycle 1 Day 1 values and Cycle 1 Day 14 values; the pre-dose value taken on Day 14 was utilized as 24-hour timepoint on Day 14 to generate AUC24 for Day 14.

Phase 1: Terminal Phase Elimination Rate Constant (β) for Navitoclax
Cycle 1 Day 1: pre-dose, 2, 4, 6, 8 hours post-dose
Phase 1: Terminal Phase Elimination Half-life (t1/2) of Navitoclax
Cycle 1 Day 1: pre-dose, 2, 4, 6, 8 hours post-dose

For t1/2, the harmonic mean and psuedo-standard deviation are used.

Phase 2: Number of Participants With TEAEs, SAEs, and Discontinuations Due to AEs
From first dose of study drug to 30 days post-last dose. Participants enrolled in Phase 2 received a mean of 15.6 treatment cycles.

An AE is defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An SAE is one that: results in death, hospitalization, prolongation of hospitalization, or persistent or significant disability/incapacity; is life-threatening, a congenital anomaly, or other important medical event. Events were graded as 1=mild, 2=moderate, 3=severe, 4=life-threatening, or 5=death. The investigator assessed the relationship of each event to the use of study drug as either probably related, possibly related, probably not related or not related. A treatment-emergent adverse event is defined as any adverse event with onset or worsening reported by a subject from the time that the first dose of study drug is administered until 30 days have elapsed following discontinuation of study drug administration. Deaths category included non treatment emergent deaths.

Phase 2: Dose-Normalized Plasma Concentrations After Navitoclax Once Daily Dosing
Cycle 1 Day 1: 4-8 h postdose; Cycle 1 Day 15: predose; Cycle 3 Day 1: predose, 4-8 h postdose; Cycle 5 Day 1: predose, 4-8 h postdose; Cycle 7 Day 1: predose, 4-8 h postdose; Cycle 9 Day 1: predose, 4-8 h postdose
Dose limiting toxicity determination
Repeating sequence of 14 days on therapy and 7 days off or continuous dosing
Maximum tolerated dose determination
Repeating sequence of 14 days on therapy and 7 days off or continuous dosing
Pharmacokinetic profile evaluation
Repeating sequence of 14 days on therapy and 7 days off or continuous dosing
Phase 1a: Determine dose limiting toxicity (DLT), maximum tolerated dose (MTD) and recommended Phase 2 dose (RPTD) and schedule - intermittent dosing.
Repeating sequence of 14 days on therapy and 7 days off.

1a: Determination of dose limiting toxicity (DLT) and maximum tolerated dose (MTD) under a 14/21 day dosing schedule

Phase 1b: Determine dose limiting toxicity (DLT), maximum tolerated dose (MTD) and recommended Phase 2 dose (RPTD) and schedule - continuous dosing.
21 day continuous dosing.

Phase 1b: Determination of ABT-263 dose limiting toxicity (DLT) and maximum tolerated dose (MTD) under a 21 day continuous dosing schedule.

Phase 2a: Continued assessment of safety profile at the recommended Phase 2 dose (RPTD) and schedule - continuous dosing.
21 day continuous dosing.

Phase 2a: Continued assessment of the safety profile of ABT-263 at the Recommended Phase 2 Dose (RPTD) and schedule under a 21 day continuous dosing.

Phase 2a: Assessment of preliminary efficacy signals including biomarker assessment - continuous dosing.
21 day continuous dosing.

Phase 2a: Assessment of the preliminary efficacy signals of ABT-263, including biomarker assessment, at the Recommended Phase 2 Dose (RPTD) and schedule under a 21 day continuous dosing.

Extension Study: Continued assessment of the safety profile of ABT-263
21 day continuous dosing

Continued assessment of the safety profile of ABT-263.

Extension Study: Continued assessment of the preliminary efficacy signals of ABT-263.
day continuous dosing

Continued assessment of the preliminary efficacy signals of ABT-263.

Secondary Endpoints

Overall response rate (ORR)
Approximately 40 months from FPI
Duration of response
Approximately 40 months from FPI
Complete response (CR) rate
Approximately 40 months from FPI
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AACTIVE_COMPARATOR -
BEXPERIMENTAL -
CEXPERIMENTAL -
ABT-263 + etoposide/cisplatinEXPERIMENTAL -
Sequence IEXPERIMENTAL -
Sequence IIEXPERIMENTAL -
Sequence IIIEXPERIMENTAL -
Sequence IVEXPERIMENTAL -
Sequence VEXPERIMENTAL -
Sequence VIEXPERIMENTAL -
Sequence VIIEXPERIMENTAL -
Sequence VIIIEXPERIMENTAL -
Sequence IXEXPERIMENTAL -
Sequence XEXPERIMENTAL -
Sequence XIEXPERIMENTAL -
Sequence XIIEXPERIMENTAL -
Sequence XIIIEXPERIMENTAL -
Sequence XIVEXPERIMENTAL -
Sequence XVIEXPERIMENTAL -
Sequence XVEXPERIMENTAL -
Arm A (ABT-263 and erlotinib)EXPERIMENTAL -
Arm B (ABT-263 and irinotecan)EXPERIMENTAL -
Arm C (ABT-263 monotherapy)EXPERIMENTAL -
gemcitabine +ABT-263EXPERIMENTAL -
ABT-263 + rituximabEXPERIMENTAL -
Paclitaxel and ABT-263EXPERIMENTAL -
Navitoclax 14/21 Day Cycle: 10 mgEXPERIMENTALNavitoclax 10 mg administered for 14 consecutive days followed by 7 days off drug to complete a 21-day cycle.
Navitoclax 14/21 Day Cycle: 110 mgEXPERIMENTALNavitoclax 110 mg administered for 14 consecutive days followed by 7 days off drug to complete a 21-day cycle.
Navitoclax 14/21 Day Cycle: 200 mgEXPERIMENTALNavitoclax 200 mg administered for 14 consecutive days followed by 7 days off drug to complete a 21-day cycle.
Navitoclax 14/21 Day Cycle: 250 mgEXPERIMENTALNavitoclax 250 mg administered for 14 consecutive days followed by 7 days off drug to complete a 21-day cycle.
Navitoclax 21/21 Day Cycle: 125 mgEXPERIMENTALNavitoclax 125 mg administered for 21 consecutive days to complete a 21-day cycle.
Navitoclax 21/21 Day Cycle: 200 mgEXPERIMENTALNavitoclax 200 mg administered for 21 consecutive days to complete a 21-day cycle.
Navitoclax 21/21 Day Cycle: 250 mgEXPERIMENTALNavitoclax 250 mg administered for 21 consecutive days to complete a 21-day cycle.
Navitoclax 21/21 Day Cycle: 300 mgEXPERIMENTALNavitoclax 300 mg administered for 21 consecutive days to complete a 21-day cycle.
Phase 2: Navitoclax 100 mgEXPERIMENTALNavitoclax 100 mg in participants with CLL who had relapsed following any (but no more than 5) prior myelosuppressive/chemotherapy treatment regimen(s).
Phase 2: Navitoclax 250 mgEXPERIMENTALNavitoclax 250 mg in participants with CLL who had relapsed following any (but no more than 5) prior myelosuppressive/chemotherapy treatment regimen(s).
Phase 1 and Phase 2aEXPERIMENTAL -
Phase 1a and 1bEXPERIMENTALRelapsed or refractory lymphoid malignancies
Arm A (Phase 2a)EXPERIMENTALRelapsed or refractory follicular lymphoma
Arm B (Phase 2a)EXPERIMENTALRelapsed or refractory mantle cell, peripheral T-cell, cutaneous T-cell lymphoma including mycosis fungoides and Sezary syndrome, or other indolent B-cell lymphomas such as marginal zone lymphoma
Extension StudyEXPERIMENTALRelapsed or refractory follicular lymphoma or Relapsed or refractory mantle cell, peripheral T-cell, cutaneous T-cell lymphoma including mycosis fungoides and Sezary syndrome, or other indolent B-cell lymphomas such as marginal zone lymphoma

Interventions

NameTypeDescription
ABT-263DRUGOral repeating dose
rituximabDRUGIntravenous repeating dose
FCRDRUGRituximab will be given by intravenous infusion for 1 day out of each 28 day cycle; Fludarabine will be given by intravenous infusion for 3 days out of each 28 day cycle; and Cyclophosphamide will be given by intravenous infusion for 3 days out of each 28 day cycle
BRDRUGRituximab will be given by intravenous infusion for 2 days out of each 28 day cycle and Bendamustine will be given by intravenous infusion for 2 days out of each 28 day cycle
etoposide/cisplatinDRUGetoposide = 100 mg/m2 Days 1-3 of each Cycle; Max duration 6 cycles. cisplatin = 75 mg/m2 Day 1 of each Cycle; Max duration 6 cycles
erlotinibDRUG150 mg of erlotinib is taken orally once daily.
irinotecan (3-week schedule)DRUG180 mg/m2 over 90 minutes, irinotecan will be given by intravenous infusion on Day 1 of each 21 day cycle. Note - The dose and schedule is subject to change based on the toxicities observed.
irinotecan (weekly schedule)DRUG75 mg/m2 over 45 minutes, irinotecan will be given by intravenous infusion on Days 1 and 8 of each 21 day cycle. Note - The dose and schedule is subject to change based on the toxicities observed.
gemcitabineDRUGGemcitabine 1000 mg/m2 will be given by intravenous infusion on Day 1 and Day 8 of each 21 day cycle. Gemcitabine 1000 mg/m2 will be given by intravenous infusion on days 1, 8 and 15 of each 28 day cycle.
paclitaxelDRUG175 mg/m2 over 3 hours of paclitaxel will be given by intravenous infusion on Day 1 of each 21 day cycle. Note - The dose and schedule is subject to change based on the toxicities observed.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites103

Inclusion Criteria: * Previously untreated, CD20-positive B-cell CLL * ECOG performance status of 0 or 1 * Life expectancy \> 6 months * Willingness and capability to be accessible for follow-up until study termination or death * For patients of reproductive potential (both males and females), use ...

Countries:United StatesAustraliaBrazilCzechiaFranceIsraelItalyPolandPuerto RicoRussiaUkraineUnited KingdomGermanyCanada
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Frequently asked questions about ABT-263

What is ABT-263 used for?

ABT-263 is an investigational small molecule being studied for CD20-positive lymphoid malignancies, chronic lymphoid leukemia, chronic lymphocytic leukemia, small cell lung cancer, lymphoid malignancy, and solid tumors. It is in Phase 1 clinical development for these oncology indications.

Who makes ABT-263?

ABT-263 is being developed by AbbVie Inc. (NYSE: ABBV). The company is conducting clinical trials of this investigational oncology drug.

What phase is ABT-263 in?

ABT-263 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. All four clinical trials listed for ABT-263 have been completed.

What clinical trials is ABT-263 in?

ABT-263 has been studied in four completed clinical trials: NCT00406809 in relapsed or refractory lymphoid malignancies, NCT00481091 in relapsed or refractory chronic lymphocytic leukemia, NCT00868413 in combination with chemotherapy regimens for CLL, and NCT01087151 in combination with rituximab for previously untreated CLL.

What does ABT-263 target?

ABT-263 is a small molecule that targets BCL-2 family proteins, which are involved in regulating apoptosis. By inhibiting these proteins, ABT-263 is designed to promote cell death in cancer cells.