| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT01087151 | 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) | PHASE2 | COMPLETED | 118 | — | — | Aug 1, 2010 | Jun 1, 2012 | Nov 2, 2016 | 103 | United States, Australia +10 |
| NCT00868413 | Study of ABT-263 When Administered in Combination With Either Fludarabine/Cyclophosphamide/Rituximab or Bendamustine/Rituximab in Relapsed or Refractory Chronic Lymphocytic Leukemia | PHASE1 | COMPLETED | 32 | — | — | Nov 1, 2009 | May 1, 2013 | Jun 7, 2013 | 6 | United States |
| NCT00481091 | A Study of ABT-263 in Participants With Relapsed or Refractory Chronic Lymphocytic Leukemia | PHASE1 | COMPLETED | 60 | — | — | Jul 25, 2007 | May 12, 2022 | Jun 13, 2023 | 10 | United States, Australia +2 |
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.
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.
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.
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.)
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.
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.
For t1/2, the harmonic mean and psuedo-standard deviation are used.
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.
| Arm | Type | Description |
|---|---|---|
| A | ACTIVE_COMPARATOR | - |
| B | EXPERIMENTAL | - |
| C | EXPERIMENTAL | - |
| Navitoclax 14/21 Day Cycle: 10 mg | EXPERIMENTAL | Navitoclax 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 mg | EXPERIMENTAL | Navitoclax 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 mg | EXPERIMENTAL | Navitoclax 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 mg | EXPERIMENTAL | Navitoclax 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 mg | EXPERIMENTAL | Navitoclax 125 mg administered for 21 consecutive days to complete a 21-day cycle. |
| Navitoclax 21/21 Day Cycle: 200 mg | EXPERIMENTAL | Navitoclax 200 mg administered for 21 consecutive days to complete a 21-day cycle. |
| Navitoclax 21/21 Day Cycle: 250 mg | EXPERIMENTAL | Navitoclax 250 mg administered for 21 consecutive days to complete a 21-day cycle. |
| Navitoclax 21/21 Day Cycle: 300 mg | EXPERIMENTAL | Navitoclax 300 mg administered for 21 consecutive days to complete a 21-day cycle. |
| Phase 2: Navitoclax 100 mg | EXPERIMENTAL | Navitoclax 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 mg | EXPERIMENTAL | Navitoclax 250 mg in participants with CLL who had relapsed following any (but no more than 5) prior myelosuppressive/chemotherapy treatment regimen(s). |
| Name | Type | Description |
|---|---|---|
| ABT-263 | DRUG | Oral repeating dose |
| rituximab | DRUG | Intravenous repeating dose |
| FCR | DRUG | Rituximab 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 |
| BR | DRUG | Rituximab 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 |
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 ...