- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT05753501
Undersøgelse for at evaluere uønskede hændelser, ændring i sygdomsaktivitet og hvordan oral ABBV-101 bevæger sig gennem kroppen hos voksne deltagere med B-celle malignitet
Første-i-menneske-undersøgelse til evaluering af sikkerheden, farmakokinetikken og den foreløbige effektivitet af BTK Degrader, ABBV-101, hos deltagere med B-celle malignitet
Non-Hodgkin's lymphoma (NHL) is a cancer that arises from the transformation of normal B and T lymphocytes (white blood cells). The purpose of this study is to assess the safety, pharmacokinetics, and preliminary efficacy of ABBV-101 in adult participants in relapsed or refractory (R/R) non-Hodgkin's lymphomas: chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), diffuse large b-cell lymphoma (DLBCL), non-germinal center B cell (GCB) DLBCL, mantle cell lymphoma (MCL), follicular lymphoma (FL), marginal zone lymphoma (MZL), Waldenström macroglobulinemia (WM), or transformed indolent NHL. Adverse events will be assessed.
ABBV-101 is an investigational drug being developed for the treatment of NHL. This study is a dose escalation phase to determine the maximum administered dose (MAD)/Maximum tolerated dose (MTD) of ABBV-101. Approximately 200 adult participants with multiple NHL subtypes will be enrolled in the study in sites world wide.
Participants will receive escalating oral doses of ABBV-101, until the MAD/MTD is determined, as part of the approximately 88 month study duration.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests, and side effects.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 1
Kontakter og lokationer
Studiesteder
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
- University Health Network_Princess Margaret Cancer Centre /ID# 253483
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Quebec
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Montreal, Quebec, Canada, H2X 3E4
- Centre Hospitalier De L'Universite De Montreal - Hopital Saint-Luc /ID# 253428
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Cambridgeshire
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Cambridge, Cambridgeshire, Det Forenede Kongerige, CB2 2QQ
- Addenbrookes Hospital /ID# 256242
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England
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Leicester, England, Det Forenede Kongerige, LE1 5WW
- Leicester Royal Infirmary /ID# 255171
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Greater London
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London, Greater London, Det Forenede Kongerige, SE5 9RS
- Kings College Hospital NHS Foundation Trust /ID# 253670
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London, Greater London, Det Forenede Kongerige, NW1 2BU
- UCLH NHS FT - University College Hospital /ID# 260202
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Arizona
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Tucson, Arizona, Forenede Stater, 85711
- Arizona Oncology - Tucson - Wilmot Road /ID# 252351
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California
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Orange, California, Forenede Stater, 92868-3201
- UC Irvine Medical Center /ID# 263020
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Palo Alto, California, Forenede Stater, 94304
- Stanford University - Palo Alto /ID# 249683
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Colorado
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Aurora, Colorado, Forenede Stater, 80012
- Rocky Mountain Cancer Centers - Aurora /ID# 252237
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Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Northwestern Medicine - Northwestern Memorial Hospital /ID# 249347
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02215-5400
- Beth Israel Deaconess Medical Center /ID# 249302
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New Jersey
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New Brunswick, New Jersey, Forenede Stater, 08901
- Rutgers Cancer Institute of New Jersey /ID# 249323
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New York
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Albany, New York, Forenede Stater, 12206-5013
- New York Oncology Hematology - Albany Cancer Center /ID# 252240
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Lake Success, New York, Forenede Stater, 11042
- Northwell Health - Monter Cancer Center /ID# 250422
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Rochester, New York, Forenede Stater, 14642-0001
- University of Rochester Medical Center /ID# 249324
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45267-2827
- University of Cincinnati /ID# 249299
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Oregon
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Eugene, Oregon, Forenede Stater, 97401-6036
- Oncology Assoc. of Oregon PC - WVCI and Research Ctr - Springfield /ID# 249309
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- University of Pennsylvania - Perelman Center for Advanced Medicine /ID# 250341
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Texas
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Houston, Texas, Forenede Stater, 77030
- MD Anderson Cancer Center /ID# 249293
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Paris, Frankrig, 75010
- Hopital Saint-Louis /ID# 253663
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Gironde
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Bordeaux, Gironde, Frankrig, 33000
- Institut Bergonie /ID# 253664
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Herault
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Montpellier, Herault, Frankrig, 34295
- CHU Montpellier - Hopital Saint Eloi /ID# 253666
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Nord
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Lille, Nord, Frankrig, 59037
- CHRU Lille - Hopital Claude Huriez /ID# 253665
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Pays de la Loire Region
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Nantes, Pays de la Loire Region, Frankrig, 44000
- Centre Hospitalier Universitaire de Nantes, Hotel Dieu -HME /ID# 256248
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Val-de-Marne
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Villejuif, Val-de-Marne, Frankrig, 94805
- Institut Gustave Roussy /ID# 253662
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Central District
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Tsrifin, Central District, Israel, 70300
- Yitzhak Shamir Medical Center /ID# 254566
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Jerusalem
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Jerusalem, Jerusalem, Israel, 91120
- Hadassah Medical Center-Hebrew University /ID# 251123
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Tel Aviv
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Ramat Gan, Tel Aviv, Israel, 5265601
- The Chaim Sheba Medical Center /ID# 251122
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Tel Aviv, Tel Aviv, Israel, 6423906
- Tel Aviv Sourasky Medical Center /ID# 259608
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Bergamo, Italien, 24127
- Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII /ID# 260317
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Bologna, Italien, 40138
- IRCCS AOU di Bologna Policlinico Sant Orsola Malpighi /ID# 255172
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Milano
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Milan, Milano, Italien, 20132
- IRCCS Ospedale San Raffaele /ID# 253531
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Milan, Milano, Italien, 20162
- ASST Grande Ospedale Metropolitano Niguarda /ID# 253532
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Piedmont
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Turin, Piedmont, Italien, 10126
- A.O.U. CITTA' DELLA SALUTE E DELLA SCIENZA DI TORINO - Ospedale Molinette /ID# 253530
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Chiba
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Kashiwa-shi, Chiba, Japan, 277-8577
- National Cancer Center Hospital East /ID# 250684
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Kyoto
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Kyoto, Kyoto, Japan, 606-8507
- Kyoto University Hospital /ID# 261837
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Tokyo
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Chuo-ku, Tokyo, Japan, 104-0045
- National Cancer Center Hospital /ID# 250680
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Koto-ku, Tokyo, Japan, 135-8550
- The Cancer Institute Hospital Of Japanese Foundation for Cancer Research /ID# 260375
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Barcelona, Spanien, 08035
- Hospital Universitario Vall de Hebron /ID# 260447
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Madrid, Spanien, 28034
- Hospital Universitario Ramon y Cajal /ID# 260450
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Madrid, Spanien, 28040
- Hospital Universitario Fundacion Jimenez Diaz /ID# 253654
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Madrid, Spanien, 28050
- Hospital Universitario HM Sanchinarro /ID# 253655
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Salamanca, Spanien, 37711
- Hospital Universitario de Salamanca /ID# 253656
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Madrid
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Majadahonda, Madrid, Spanien, 28222
- Hospital Universitario Puerta de Hierro - Majadahonda /ID# 260196
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Berlin, Tyskland, 12203
- Charite Universitaetsklinikum Berlin - Campus Benjamin Franklin /ID# 257431
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Hamburg, Tyskland, 20246
- Universitaetsklinikum Hamburg-Eppendorf /ID# 264566
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Baden-Wurttemberg
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Ulm, Baden-Wurttemberg, Tyskland, 89081
- Universitaetsklinikum Ulm /ID# 253742
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Bavaria
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Würzburg, Bavaria, Tyskland, 97080
- Universitaetsklinikum Wuerzburg /ID# 254636
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Mecklenburg-Vorpommern
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Rostock, Mecklenburg-Vorpommern, Tyskland, 18057
- Universitaetsmedizin Rostock /ID# 259657
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Saarland
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Homburg, Saarland, Tyskland, 66424
- Universitaetsklinikum des Saarlandes /ID# 257435
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
-
For Dose Escalation only (including backfill): Participants have received at least two prior systemic therapies, have no available therapies known to provide clinical benefit (e.g., standard chemotherapy or HCT), have measurable disease requiring treatment, and have a documented diagnosis for one of the following third line or later B-cell malignancies, from one of the following world health organization (WHO)-defined histologies (Swerdlow et al 2016):
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Chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL)
- For Dose Escalation backfill only - Bruton's tyrosine kinase inhibitor (BTKi)/Bruton's tyrosine kinase degrader (BTKd)-naïve CLL/SLL. Participants with a documented diagnosis of CLL/SLL who have received at least one prior systemic therapy that cannot be a BTK inhibitor or degrader, and, with the exception of BTK pathway agents, have no available therapies known to provide clinical benefit (e.g., standard chemotherapy or HCT), and have measurable disease requiring treatment.
- For Dose Escalation backfill only - BTKi/BCL-2i combination regimen-exposed 2L CLL/SLL. Participants with a documented diagnosis of CLL/SLL who have received one prior systemic therapy with a BTKi and BCL-2i combination regimen, have no available therapies known to provide clinical benefit (e.g., standard chemotherapy or HCT), and have measurable disease requiring treatment.
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Chimeric antigen receptor T-cells (CAR-T)/hematopoietic cell transplant (HCT) relapsed/refractory (R/R) or ineligible diffuse large b-cell lymphoma (DLBCL) from the following histologies: DLBCL not otherwise specified (NOS) (germinal center B cell [GCB] and non-GCB DLBCL), T-cell/histiocyte-rich large B-cell lymphoma, primary mediastinal (thymic) large B-cell lymphoma, intravascular large B-cell lymphoma, anaplastic lymphoma kinase positive (ALK+) large B-cell lymphoma, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, and high-grade B-cell lymphoma NOS.
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Mantle cell lymphoma (MCL)
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Follicular lymphoma [FL] (grades 1-3b)
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Marginal zone lymphoma [MZL] (splenic, extranodal, and nodal)
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Waldenström macroglobulinemia (WM)
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Transformed indolent non-Hodgkin's lymphoma (iNHL)
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Has an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0, 1, or 2. For EU only: Participant has an ECOG PS of 0 or 1.
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Participant has a life expectancy >= 12 weeks.
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Prior Bruton's tyrosine kinase inhibitor (BTKi) is allowed.
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Adequate hematologic, renal, and hepatic function per the protocol.
Exclusion Criteria:
- Previously treated with a Bruton's tyrosine kinase (BTK) degrader, except ABBV-101.
- Known active central nervous system (CNS) disease, or primary CNS lymphoma. Participants with prior CNS disease that have been effectively treated may be eligible.
- Uncontrolled active systemic infection requiring systemic treatment that is ongoing or was completed <= 14 days before the first dose of study drug, or active cytomegalovirus infection.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Dose Escalation: ABBV-101
Participants with relapsed or refractory (R/R) Non-Hodgkin's lymphoma (NHL) will receive escalating doses of ABBV-101, until the maximum administered dose (MAD)/Maximum tolerated dose (MTD) is determined, as part of the approximately 88 month study duration. |
Oral:Tablet |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Participants with Adverse Events (AE)
Tidsramme: Up to Approximately 88 Months
|
AE is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. |
Up to Approximately 88 Months
|
|
Change in Laboratory Parameters
Tidsramme: Up to Approximately 88 Months
|
Number of participants with clinically significant change from baseline in clinical laboratory test results like hematology will be reported. |
Up to Approximately 88 Months
|
|
Change in Vital Signs
Tidsramme: Up to Approximately 88 Months
|
Number of participants with clinically significant change from baseline in vital signs like systolic and diastolic blood pressure will be reported. |
Up to Approximately 88 Months
|
|
Change in Electrocardiogram (ECG)
Tidsramme: Up to Approximately 88 Months
|
12-lead resting ECGs will be recorded. Parameters include RR interval, PR interval, QT interval, and QRS duration. |
Up to Approximately 88 Months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Maximum Observed Serum Concentration (Cmax) of ABBV-101
Tidsramme: Up to Approximately 88 Months
|
Maximum observed serum concentration of ABBV-101. |
Up to Approximately 88 Months
|
|
Time to Cmax (Tmax) of ABBV-101
Tidsramme: Up to Approximately 88 Months
|
Time to Cmax of ABBV-101. |
Up to Approximately 88 Months
|
|
Area Under the Serum Concentration Versus Time Curve (AUC) of ABBV-101
Tidsramme: Up to Approximately 88 Months
|
Area under the serum concentration versus time curve (AUC) of ABBV-101. |
Up to Approximately 88 Months
|
|
Number of Participants with Response of Partial Response (PR) or Better Response (Overall Response) per Disease-Specific Criteria
Tidsramme: Up to Approximately 88 Months
|
Number of participants with response of PR or better response (overall response) per disease-specific criteria. |
Up to Approximately 88 Months
|
|
Duration of Response (DOR)
Tidsramme: Up to Approximately 88 Months
|
DOR is defined for participants achieving PR or better as the time from the initial response per Investigator review to disease progression or death of any cause, whichever occurs earlier. |
Up to Approximately 88 Months
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: ABBVIE INC., AbbVie
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
- Follikulært lymfom (FL)
- Kronisk lymfatisk leukæmi (CLL)
- Lille lymfatisk lymfom (SLL)
- Hæmatopoietisk celletransplantation (HCT)
- Mantelcellelymfom (MCL)
- Marginal zone lymfom (MZL)
- Hæmatologisk kræft
- Kimæriske antigenreceptor T-celler (CAR-T)
- Waldenström makroglobulinæmi (WM)
- Transformeret indolent non-Hodgkins lymfom (INHL)
- ABBV-101
- Relapsed/refractory (R/R) or ineligible Diffuse large B-cell lymphoma (DLBCL)
Yderligere relevante MeSH-vilkår
- Karsygdomme
- Hjerte-kar-sygdomme
- Patologiske processer
- Neoplasmer efter sted
- Neoplasmer
- Kronisk sygdom
- Sygdomsegenskaber
- Sygdomme i immunsystemet
- Neoplasmer efter histologisk type
- Hæmatologiske sygdomme
- Lymfesygdomme
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lymfom, Non-Hodgkin
- Leukæmi, B-celle
- Lymfom, B-celle
- Lymfom
- Neoplasmer, Plasmacelle
- Hæmostatiske lidelser
- Paraproteinæmier
- Blodproteinforstyrrelser
- Hæmoragiske lidelser
- Leukæmi, lymfoid
- Leukæmi
- Patologiske tilstande, tegn og symptomer
- Hemiske og lymfatiske sygdomme
- Tilbagevenden
- Hæmatologiske neoplasmer
- Leukæmi, lymfatisk, kronisk, B-celle
- Lymfom, follikulært
- Lymfom, kappecelle
- Waldenstrom Makroglobulinæmi
- Lymfom, B-celle, marginalzone
Andre undersøgelses-id-numre
- M23-647
- 2023 (U.S. NIH-bevilling/kontrakt)
- 2023-503594-38-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
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