Study Evaluating Venetoclax in Subjects With Hematological Malignancies
A Phase 1/2 Study Evaluating the Safety, Pharmacokinetics and Efficacy of Venetoclax in Japanese Subjects With Hematological Malignancies
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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-
Aichi
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Nagoya shi, Aichi, Japan, 4678602
- Nagoya City University Hospital /ID# 129278
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Nagoya-shi, Aichi, Japan, 460-0001
- NHO Nagoya Medical Center /ID# 129222
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Nagoya-shi, Aichi, Japan, 464-8681
- Aichi Cancer Center Hospital /ID# 129061
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Fukui
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Yoshida-gun, Fukui, Japan, 910-1193
- University of Fukui Hospital /ID# 165801
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Fukuoka
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Fukuoka-shi, Fukuoka, Japan, 811-1395
- National Hospital Organization Kyushu Cancer Center /ID# 149741
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Fukuoka-shi, Fukuoka, Japan, 812-8582
- Kyushu University Hospital /ID# 163202
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Hyogo
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Kobe-shi, Hyogo, Japan, 650-0047
- Kobe City Medical Center General Hospital /ID# 170919
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Miyagi
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Sendai-shi, Miyagi, Japan, 9808574
- Tohoku University Hospital /ID# 129275
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Osaka
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Osakasayama-shi, Osaka, Japan, 589-8511
- Kindai University Hospital /ID# 169554
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Suita-shi, Osaka, Japan, 565-0871
- Osaka University Hospital /ID# 169862
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Tokyo
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Chuo-ku, Tokyo, Japan, 104-0045
- National Cancer Center Hospital /ID# 129044
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Koto-ku, Tokyo, Japan, 135-8550
- The Cancer Institute Hospital Of JFCR /ID# 129277
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Minato-ku, Tokyo, Japan, 105-8470
- Toranomon Hospital /ID# 148229
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Shinagawa-ku, Tokyo, Japan, 141-8625
- NTT Medical Center Tokyo /ID# 166281
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participants must have histologically documented diagnosis of NHL (and exhausted options considered standard of care) as defined in the World Health Organization classification scheme and relapsed following or be refractory to standard treatments such as R-CHOP, R-CVP, or fludarabine based regimens. Participants with other lymphoproliferative diseases can be considered in consultation with the AbbVie medical monitor
- Relapsed or refractory multiple myeloma participants must have been previously treated with at least one prior line of therapy and have measurable disease
- Chronic lymphocytic leukemia/small lymphocytic lymphoma participants must have relapsed or be refractory to standard treatments such as fludarabine based regimens or alkylator based regimens
- Untreated AML subjects or Relapsed or refractory AML subjects must have been previously treated with at least one prior line of therapy
- Eastern Cooperative Oncology Group (ECOG) performance score less than or equal to 1; adequate bone marrow independent of growth factor support per local laboratory reference range; and adequate coagulation, renal, and hepatic function, per laboratory reference range at Screening
- Participants with a history of autologous or allogenic stem cell transplantation must have adequate blood counts independent of growth factor support and have recovered from any transplant-related toxicity(s) and be at least 100 days post-autologous transplant (multiple myeloma) or 6 month post-autologous transplant (NHL) prior to first dose of study drug or at least 6 months post-allogenic transplant (multiple myeloma) prior to first dose of study drug and not have active graft-versus-host disease (GVHD), i.e., requiring treatment
Exclusion Criteria:
- NHL participants who have undergone an allogeneic stem cell transplant or were diagnosed with Post-Transplant Lymphoproliferative Disease, Burkitt's lymphoma, Burkitt-like lymphoma, or lymphoblastic lymphoma/leukemia
- Participant tested positive for HIV
- Participant has a cardiovascular disability status of New York Heart Association Class greater or equal to 2
- Participant has a significant history of renal, neurologic, psychiatric, pulmonary, endocrinologic, metabolic, immunologic, cardiovascular, or hepatic disease that in the opinion of the Investigator would adversely affect his/her participating in this study.
- Participant received a monoclonal antibody for anti-neoplastic intent within 8 weeks prior to the first dose of study drug.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm A (Phase 1)
Step-up doses of venetoclax to the designated cohort dose administered in participants with relapsed or refractory (R/R) Non-Hodgkin lymphoma (NHL) or multiple myeloma (MM)
|
Step-up doses of venetoclax to the designated cohort dose
|
|
Experimental: Arm B (Phase 1)
Step-up doses of venetoclax to the designated dose administered in participants with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL)
|
Step-up doses of venetoclax to the designated cohort dose
|
|
Experimental: Arm C (Phase 1)
Step-up doses of venetoclax to the designated dose with the addition of azacitidine administered in participants with acute myeloid leukemia (AML)
|
Step-up doses of venetoclax to the designated cohort dose
75 mg/m2 by IV infusion or subcutaneous dosing
|
|
Experimental: Arm D (Phase 2)
Step-up doses of venetoclax to the designated dose with the addition of rituximab in participants with R/R CLL
|
Step-up doses of venetoclax to the designated cohort dose
375 mg/m2 on Week 6
500 mg/m2 Week 10 Day 1 and thereafter
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants having treatment-emergent adverse events
Time Frame: Approximately 2 years
|
Collect all adverse events at each visit
|
Approximately 2 years
|
|
Time to maximum plasma concentration (Tmax) of venetoclax
Time Frame: Approximately 8 days
|
Approximately 8 days
|
|
|
Maximum plasma concentration (Cmax) of venetoclax
Time Frame: Approximately 8 days
|
Approximately 8 days
|
|
|
Area under the plasma concentration-time curve from 0 to 24 hours (AUC24) post-dose of venetoclax
Time Frame: Approximately 8 days
|
Approximately 8 days
|
|
|
Objective Response Rate (Phase 2)
Time Frame: Approximately 48 months
|
The proportion of participants with response (e.g., partial, complete response) using IWCLL (International Workshop on Chronic Lymphocytic Leukemia) criteria for CLL participants will be computed for all participants with active disease at baseline (in the opinion of the investigator).
|
Approximately 48 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (Phase 1)
Time Frame: Approximately 48 months
|
The proportion of participants with response (e.g., partial, complete response) using IWG (International Working Group) response criteria for NHL participants, IMWG (International Myeloma Working Group) response criteria for multiple myeloma participants, IWCLL (International Workshop on Chronic Lymphocytic Leukemia) criteria for CLL participants or IWG (International Working Group) criteria for AML participants will be computed for all participants with active disease at baseline (in the opinion of the investigator).
|
Approximately 48 months
|
|
Minimal Residual Disease (MRD)
Time Frame: Approximately 2 years
|
Approximately 2 years
|
|
|
Duration of Response
Time Frame: Approximately 48 months
|
Duration of response is defined as the number of days from the participant's initial response (e.g., partial, complete response per disease-appropriate response criteria) to the day that disease progression is objectively documented.
|
Approximately 48 months
|
|
Time to disease progression
Time Frame: Approximately 48 months
|
Time to disease progression is defined as the number of days from the date the subject started the study drug to the date of the subject's progression (all events of progression will be included).
|
Approximately 48 months
|
|
complete response or remission (CR) rate
Time Frame: Approximately 48 months
|
CR rate will be defined as the proportion of participants who achieved a complete response or remission (CR) or complete response with incomplete bone marrow recovery or complete remission with incomplete count recovery (CRi) per the 2008 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) criteria.
|
Approximately 48 months
|
|
Partial response or remission (PR) rate
Time Frame: Approximately 48 months
|
PR rate will be defined as the proportion of subjects who achieved a nodular PR (nPR) or PR per the 2008 IWCLL criteria.
|
Approximately 48 months
|
|
Progression Free Survival (PFS)
Time Frame: Approximately 48 months
|
Duration of progression-free survival (PFS) will be defined as the number of days from the date of first dose to the date of earliest disease progression or death.
|
Approximately 48 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
Keywords
- Lymphoma, Non-Hodgkin
- acute myeloid leukemia
- refractory chronic lymphocytic leukemia
- refractory multiple myeloma
- Lymphoproliferative Disorders
- Lymphatic Diseases
- relapsed multiple myeloma
- small lymphocytic lymphoma
- relapsed chronic lymphocytic leukemia
- relapsed small lymphocytic lymphoma
- refractory small lymphocytic lymphoma
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Vascular Diseases
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Neoplasms by Site
- Hematologic Diseases
- Hemorrhagic Disorders
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Leukemia, B-Cell
- Lymphoma
- Hematologic Neoplasms
- Multiple Myeloma
- Neoplasms, Plasma Cell
- Leukemia
- Leukemia, Myeloid
- Leukemia, Myeloid, Acute
- Lymphoma, Non-Hodgkin
- Leukemia, Lymphocytic, Chronic, B-Cell
- Leukemia, Lymphoid
- Physiological Effects of Drugs
- Antirheumatic Agents
- Antineoplastic Agents
- Immunologic Factors
- Antineoplastic Agents, Immunological
- Venetoclax
- Rituximab
Other Study ID Numbers
Other Study ID Numbers
- M13-834
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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