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)
A Phase II, Multicenter, Randomized, Controlled, Open-label Study of the Safety, Efficacy and Pharmacokinetics 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)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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New South Wales
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Randwick, New South Wales, Australia, 2031
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Queensland
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Greenslopes, Queensland, Australia, 4120
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South Australia
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Adelaide, South Australia, Australia, 5000
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Kurralta Park, South Australia, Australia, 5037
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Victoria
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Coburg, VIC, Victoria, Australia, 3058
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Fitzroy, Victoria, Australia, 3065
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Frankston, Victoria, Australia, 3199
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Parkville, Victoria, Australia, 3052
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Western Australia
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Fremantle, Western Australia, Australia, 6160
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ES
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Cachoeiro de Itapemirim, ES, Brazil, 29308-014
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MG
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Belo Horizonte, MG, Brazil, 30150-270
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Belo Horizonte, MG, Brazil, 30150-281
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RJ
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Rio de Janeiro, RJ, Brazil, 20211-030
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RS
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Caxias do Sul, RS, Brazil, 95070-560
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Porto Alegre, RS, Brazil, 90035-003
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Porto Alegre, RS, Brazil, 90110-270
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Porto Alegre, RS, Brazil, 90020-090
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SP
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Santo Andre, SP, Brazil, 09060-650
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São Paulo, SP, Brazil, 01427-001
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Brno, Czech Republic, 625 00
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Hradec Kralove, Czech Republic, 500 05
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Prague 2, Czech Republic, 128 08
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Lille, France, 59037
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Pierre Benite, France, 69495
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Afula, Israel, 18101
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Petah Tikva, Israel, 4937211
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Ramat Gan, Israel, 5262100
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Rehovot, Israel, 76100
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Emilia-Romagna
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Modena, Emilia-Romagna, Italy, 41100
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Liguria
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Genova, Liguria, Italy, 16128
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Lombardia
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Cremona, Lombardia, Italy, 26100
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Milano, Lombardia, Italy, 20133
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Milano, Lombardia, Italy, 20162
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Rozzano, Lombardia, Italy, 20089
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Piemonte
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Torino, Piemonte, Italy, 10128
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Chorzow, Poland, 41-500
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Gdansk, Poland, 80-952
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Warszawa, Poland, 00-909
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San Juan, Puerto Rico, 00927
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Kazan, Russian Federation, 420029
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Moscow, Russian Federation, 115478
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Petrozavodsk, Russian Federation, 185019
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Ryazan, Russian Federation, 390039
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St. Petersburg, Russian Federation, 191024
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Cherkassy, Ukraine, 18009
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Dnipropetrovsk, Ukraine, 49102
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Donetsk, Ukraine, 83045
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Ivano-Frankivsk, Ukraine, 76018
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Khmelnitskyy, Ukraine, 29000
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Kyiv, Ukraine, 03150
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Lviv, Ukraine, 79044
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Poltava, Ukraine, 36024
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Zhytomir, Ukraine, 10002
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Leicester, United Kingdom, LE1 5WW
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London, United Kingdom, EC1A 7BE
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California
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Alhambra, California, United States, 91801
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Antioch, California, United States, 94531
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Berkeley, California, United States, 94704
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Burbank, California, United States, 91505
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Duarte, California, United States, 91010
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Dublin, California, United States, 94568
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La Jolla, California, United States, 92093
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Los Angeles, California, United States, 90073
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Los Angeles, California, United States, 90095
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Los Angeles, California, United States, 90024
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Los Angeles, California, United States, 90095-1772
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Northridge, California, United States, 91325
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Pleasant Hill, California, United States, 94523
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San Leandro, California, United States, 94578-2626
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San Luis Obispo, California, United States, 93454
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Santa Monica, California, United States, 90404
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Colorado
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Fort Collins, Colorado, United States, 80528
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Connecticut
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Norwalk, Connecticut, United States, 06856
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Florida
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Bay Pines, Florida, United States, 33744
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Georgia
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Atlanta, Georgia, United States, 30322
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Illinois
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Chicago, Illinois, United States, 60612
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Decatur, Illinois, United States, 62526
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Harvey, Illinois, United States, 60426
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Tinley Park, Illinois, United States, 60477
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Louisiana
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Shreverport, Louisiana, United States, 71103
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Maryland
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Baltimore, Maryland, United States, 21215
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Bethesda, Maryland, United States, 20817
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Bethesda, Maryland, United States, 20874
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Randallstown, Maryland, United States, 21133
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Michigan
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Lansing, Michigan, United States, 48912
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Lansing, Michigan, United States, 48909
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Nebraska
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Omaha, Nebraska, United States, 68114
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Nevada
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Henderson, Nevada, United States, 89052
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Las Vegas, Nevada, United States, 89169
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Las Vegas, Nevada, United States, 89148
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Reno, Nevada, United States, 89502
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New Jersey
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Cherry Hill, New Jersey, United States, 08003
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New Mexico
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Farmington, New Mexico, United States, 87401
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New York
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Oneida, New York, United States, 13421
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Oswego, New York, United States, 13126
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Syracuse, New York, United States, 13210
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Ohio
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Middletown, Ohio, United States, 45042
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19111
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Pittsburgh, Pennsylvania, United States, 15224
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Texas
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Corpus Christi, Texas, United States, 78405
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Lubbock, Texas, United States, 79410
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Lubbock, Texas, United States, 79415
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Washington
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Everett, Washington, United States, 98201
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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 of a reliable means of contraception
Exclusion Criteria:
- Prolymphocytic leukemia
- Richter's transformation to an aggressive B-cell malignancy (e.g., DLBCL)
- Prior radiotherapy to a lesion(s) that will be used to assess response unless that lesion(s) shows clear evidence of progression at baseline
- Patients with a history of other malignancies within 2 years prior to study entry except for adequately treated carcinoma in situ of the cervix, basal or squamous cell skin carcinoma, low-grade, localized prostate cancer treated surgically with curative intent or one that carries a good prognosis, in situ ductal carcinoma of the breast treated with lumpectomy alone with curative intent
- Prior treatment with rituximab, ABT-263 or other pro-apoptotic agents
- Current or recent (within the 28 days prior to initiation of study treatment) participation in another experimental drug study
- Major surgical procedure (excluding lymph node biopsy) or significant traumatic injury within 28 days prior to treatment onset or anticipation of the need for major surgery during the course of the study
- Active infection requiring parenteral antibiotics or antiviral or antifungal agents at the onset of study treatment
- Receipt of primary or booster vaccination with live-virus vaccines for up to 6 months prior to initiation of study treatment
- Patients receiving therapeutic anticoagulation with heparin or warfarin or patients receiving any drugs or herbal supplements that are known to inhibit platelet function (including low-dose aspirin) within 7 days of the first dose of ABT-263. Note: Patients receiving low-dose anticoagulation for the purpose of maintaining central venous catheter patency are eligible.
- Patients who have an inherited or acquired bleeding diathesis, including (but not limited to) hemophilia or immune or thrombotic thrombocytopenic purpura, or who have had an underlying condition that predisposes to abnormal bleeding (e.g., peptic ulcer disease) within 1 year prior to the first dose of ABT-263
- Patients with a history of refractoriness to platelet transfusions
- Clinically significant cardiovascular disease
- Known human immunodeficiency virus (HIV) infection, seropositivity for hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibody or RNA
- Pregnancy or breastfeeding
- Concurrent (or within 7 days prior to the first dose of study treatment) systemic corticosteroid therapy except some low-dose corticosteroid therapies
- History of other disease, metabolic dysfunction, physical or laboratory finding(s) giving reasonable suspicion of a disease or condition that contraindicates use of an investigational drug, might affect interpretation of the results of the study or render the patient at high risk from treatment complications
- History of anaphylaxis, allergic reaction, or hypersensitivity to sulfites (sodium metabisulphite is included in study drug formulation)
- Any contraindication to alcohol ingestion (study drug formulation includes approximately 15% ethanol)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Active Comparator: A
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Intravenous repeating dose
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Experimental: B
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Intravenous repeating dose
Oral repeating dose
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Experimental: C
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Intravenous repeating dose
Oral repeating dose
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Progression-free survival
Time Frame: From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from First Patient In [FPI])
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From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from First Patient In [FPI])
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Overall response rate (ORR)
Time Frame: Approximately 40 months from FPI
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Approximately 40 months from FPI
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Duration of response
Time Frame: Approximately 40 months from FPI
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Approximately 40 months from FPI
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Complete response (CR) rate
Time Frame: Approximately 40 months from FPI
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Approximately 40 months from FPI
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Progression-free survival as assessed by a blinded, independent review
Time Frame: From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from FPI)
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From randomization to the first occurrence of progression, relapse, or death on study (approximately 40 months from FPI)
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ORR as assessed by a blinded, independent review
Time Frame: Approximately 40 months from FPI
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Approximately 40 months from FPI
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Duration of response as assessed by a blinded, independent review
Time Frame: Approximately 40 months from FPI
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Approximately 40 months from FPI
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CR rate as assessed by a blinded, independent review
Time Frame: Approximately 40 months from FPI
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Approximately 40 months from FPI
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Overall survival (OS)
Time Frame: From randomization until death due to any cause (approximately 4 years after Last Patient In)
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From randomization until death due to any cause (approximately 4 years after Last Patient In)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: William Ho, M.D., Ph.D., Genentech, Inc.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Leukemia, B-Cell
- Leukemia
- Leukemia, Lymphocytic, Chronic, B-Cell
- Leukemia, Lymphoid
- Physiological Effects of Drugs
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Rituximab
- Navitoclax
Other Study ID Numbers
Other Study ID Numbers
- ABT4710n
- 2009-012152-24 (EudraCT Number)
- GP00763 (Other Identifier: Hoffmann-La Roche)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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