En studie av kombinasjonen av Ibrutinib Plus Venetoclax versus Chlorambucil Plus Obinutuzumab for førstelinjebehandling av deltakere med kronisk lymfatisk leukemi (KLL)/små lymfatisk lymfom (SLL) (GLOW)
En randomisert, åpen fase 3-studie av kombinasjonen av Ibrutinib Plus Venetoclax versus Chlorambucil Plus Obinutuzumab for førstelinjebehandling av pasienter med kronisk lymfatisk leukemi (KLL)/små lymfatisk lymfom (SLL).
The purpose of this study is to assess progression-free survival (PFS) from treatment with ibrutinib plus venetoclax (I+VEN) compared with obinutuzumab plus chlorambucil (G-Clb) as assessed by an Independent Review Committee (IRC).
Studieoversikt
Status
Studietype
Registrering (Faktiske)
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
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Anderlecht, Belgia, 1070
- Institut - Jules Bordet
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Antwerp, Belgia, 2060
- ZNA Stuivenberg
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Ghent, Belgia, 9000
- Universitair Ziekenhuis Gent
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Hasselt, Belgia, 3500
- Virga Jessa Ziekenhuis
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Leuven, Belgia, 3000
- UZ Leuven Gasthuisberg
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Alberta
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Calgary, Alberta, Canada, T2N 5G2
- Arthur J E Child Comprehensive Cancer Centre
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Edmonton, Alberta, Canada, T6G 1Z2
- Cross Cancer Institute
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Ontario
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Hamilton, Ontario, Canada, L8V 5C2
- Juravinski Cancer Centre
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Ottawa, Ontario, Canada, K1H 8L6
- The Ottawa Hospital - General Campus
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Quebec
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Montreal, Quebec, Canada, H3T 1E2
- Jewish General Hospital
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Montreal, Quebec, Canada, H1T 2M4
- CIUSSS de l Est de l Ile de Montreal Installation Hopital Maisonneuve Rosemont
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Aalborg, Danmark, 9000
- Aalborg University Hospital
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Aarhus, Danmark, 8200
- Aarhus Universitetshospital
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Copenhagen, Danmark, 2100
- Rigshospitalet
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Copenhagen, Danmark, 2100
- Rigshospitalet 1
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Odense C, Danmark, 5000
- Odense Universitetshospital
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Roskilde, Danmark, DK- 4000
- Roskilde Sygehus
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Kentucky
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Louisville, Kentucky, Forente stater, 40207
- Norton Cancer Institute
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New Jersey
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Hackensack, New Jersey, Forente stater, 07601
- John Theurer Cancer Center
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North Carolina
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Charlotte, North Carolina, Forente stater, 28204
- Novant Health
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Clermont-Ferrand, Frankrike, 63000
- CHU de Clermont Ferrand
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Lille, Frankrike, 59000
- Hopital Claude Huriez
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Montpellier, Frankrike, 34295
- CHU Montpellier
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Pessac, Frankrike, 33604
- Hopital Haut Leveque Service Maladie Du Sang
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Reims, Frankrike, 51100
- Centre Hospitalier Universitaire de Reims, Hôpital Robert Debré
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Toulouse, Frankrike, 31059
- Institut Universitaire du Cancer Toulouse Oncopole
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Tours, Frankrike, 37044
- CHU Bretonneau
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Vandœuvre-lès-Nancy, Frankrike, 54511
- CHU-Nancy
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Villejuif, Frankrike, 94805
- Institut Gustave Roussy
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Haifa, Israel, 31048
- Bnai Zion Medical Center
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Haifa, Israel, 34362
- Carmel Medical Center
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Jerusalem, Israel, 9112001
- Hadassah Medical Center
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Nahariya, Israel, 22100
- Western Galilee Medical Center
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Ramat Gan, Israel, 52621
- Sheba Medical Center
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Tel Aviv, Israel, 64239
- Tel Aviv Sourasky Medical Center
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Almere Stad, Nederland, 1315RA
- Flevoziekenhuis
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Amsterdam, Nederland, 1105 AZ
- Academic Medical Center
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Amsterdam, Nederland, 1091AC
- OLVG
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Delft, Nederland, 2625 AD
- Reinier de Graaf Gasthuis
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Dordrecht, Nederland, 3318 AT
- Albert Schweitzer Ziekenhuis
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Eindhoven, Nederland, 5623 EJ
- Catharinaziekenhuis
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Hoofddorp, Nederland, 2134 TM
- Spaarne Gasthuis
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Sittard-Geleen, Nederland, 6162 BG
- Zuyderland Medical Center
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Sneek, Nederland, 8601 ZK
- Antonius hospital
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The Hague, Nederland, 2512 VA
- MC Haaglanden
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Tilburg, Nederland, 5022 GC
- Elisabeth zkh
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Chorzów, Polen, 41-500
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Zespol Szpitali Miejskich
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Koszalin, Polen, 75-581
- Wojewodzki Szpital Specjalistyczny im Janusza Korczaka
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Lodz, Polen, 93 510
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im M Kopernika w Lodzi
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Lublin, Polen, 20-081
- Uniwersytecki Szpital Kliniczny Nr 1 w Lublinie
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Warsaw, Polen, 02 776
- Instytut Hematologii i Transfuzjologii
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Moscow, Russland, 125284
- Moscow Multidisciplinary Scientific and Clinical Center named after S P Botkin
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Moscow, Russland, 125284
- S.P. Botkin Moscow City Clinical Hospital
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Nizhny Novgorod, Russland, 603126
- Nizhniy Novgorod Region Clinical Hospital
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Ryazan, Russland, 390039
- Ryazan Regional Clinical Hospital
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Saint Petersburg, Russland, 193024
- St.-Petersburg Clinical Research Institute of Hematology and Transfusiology
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Saint Petersburg, Russland, 197341
- FSBIFederal Centre of Heart, Blood and Endocrinology named after V.A.Almazov MoH of the RF
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Barcelona, Spania, 08041
- Hosp. de La Santa Creu I Sant Pau
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Barcelona, Spania, 08036
- Hosp Clinic de Barcelona
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Barcelona, Spania, 08035
- Hosp Univ Vall D Hebron
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Madrid, Spania, 28034
- Hospital Ramon y Cajal
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Madrid, Spania, 28007
- Hosp. Gral. Univ. Gregorio Maranon
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Madrid, Spania, 28031
- Hosp. Univ. Infanta Leonor
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Madrid, Spania, 28006
- Hosp. Univ. de La Princesa
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Madrid, Spania, 28040
- Hosp Univ Fund Jimenez Diaz
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Pamplona, Spania, 31008
- Clinica Univ. de Navarra
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Salamanca, Spania, 37007
- Hospital Clinico Universitario Salamanca
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Seville, Spania, 41013
- Hosp. Virgen Del Rocio
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Birmingham, Storbritannia, B9 5ST
- Birmingham Heartlands Hospital
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Cambridge, Storbritannia, CB2 0QQ
- Addenbrookes Hospital
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Charterhouse Square, Storbritannia, EC1M 6BQ
- Queen Mary University of London
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Glasgow, Storbritannia, G42 9LF
- New Victoria Hospital
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Leeds, Storbritannia, LS9 7T
- St James's Hospital
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Plymouth, Storbritannia, PL6 8DH
- Derriford Hospital
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Romford, Storbritannia, RM7 0AG
- Barking Havering and Redbridge University Hospitals NHS Trust
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Sheffield, Storbritannia, S10 2JF
- Royal Hallamshire Hospital
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Luelå, Sverige, 97180
- Sunderby Sjukhus Medicinkliniken
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Stockholm, Sverige, 171 76
- Karolinska Universitetssjukhuset Solna, Centrum för Hematologi, Stockholm
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Brno, Tsjekkia, 625 00
- Fakultni nemocnice Brno, Interni hematologicka a onkologicka klinika
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Hradec Králové, Tsjekkia, 500 05
- Fakultni nemocnice Hradec Kralove
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Ostrava, Tsjekkia, 708 52
- Fakultni Nemocnice Ostrava
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Pilsen, Tsjekkia, 323 00
- Fakultni nemocnice Plzen, Hemato-onkologicke oddeleni
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Prague, Tsjekkia, 128 08
- Vseobecna fakultni nemocnice v Praze - I. interni klinika - klinika hematologie
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Ankara, Tyrkia (Türkiye), 06500
- Gazi Universitesi Tip Fakultesi
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Ankara, Tyrkia (Türkiye), 06620
- Ankara Universitesi Tip Fakultesi Cebeci Arastirma ve Uygulama Hastanesi
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Istanbul, Tyrkia (Türkiye), 34365
- V K V Amerikan Hastanesi
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Izmir, Tyrkia (Türkiye), 35340
- Dokuz Eylul Universitesi Tip Fakultesi
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Samsun, Tyrkia (Türkiye), 55280
- Ondokuz Mayis Universitesi Tip Fakultesi Hastanesi
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
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Adult participants who are: (a) greater than or equal to (>=) 65 years old or, (b) 18 to 64 years old and have at least 1 of the following:
- Cumulative Illness Rating Scale (CIRS) score > 6
- Creatinine clearance (CrCl) estimated less than (<) 70 milliliter per minute (mL/min) using Cockcroft-Gault equation
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Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) that meets International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria
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Measurable nodal disease (by computed tomography [CT]), defined as at least one lymph node > 1.5 centimeter (cm) in longest diameter
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Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) Grade less than or equal to (<=) 2
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Active CLL/SLL requiring treatment per the iwCLL criteria
Exclusion Criteria:
- Prior anti-leukemic therapy for CLL or SLL
- Presence of deletion of the short arm of chromosome 17 (del17p) or known TP53 mutation detected at a threshold of >10 percent (%) variable allele frequency (VAF)
- Major surgery within 4 weeks of first dose of study treatment
- Known bleeding disorders (example, von Willebrand's disease or hemophilia)
- Central nervous system (CNS) involvement or suspected Richter's syndrome
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Treatment Arm A: Ibrutinib and Venetoclax (I+VEN)
Participants will initially receive ibrutinib (420 mg [milligrams]/day) for 3 cycles. Venetoclax dose ramp up (from 20 to 400 mg over 5 weeks) will begin at Cycle 4 and the combination of ibrutinib and venetoclax will be given for 12 cycles (each cycle is equivalent to 28 days). Participants who subsequently develop progressive disease may enter to Subsequent Therapy Phase to receive single-agent ibrutinib until disease progression or unacceptable toxicity. |
Participants will receive ibrutinib 420 mg orally once daily up to 15 cycles. Participants will receive venetoclax in combination with ibrutinib for a total of 12 cycles, beginning at Cycle 4. For the first 5 weeks of venetoclax treatment, the treatment dose will be ramped up from 20 to 400 mg. Participants will receive ibrutinib 420 mg orally once daily until disease progression or unacceptable toxicity during the subsequent therapy phase. |
|
Aktiv komparator: Treatment Arm B: Chlorambucil and Obinutuzumab (G-Clb)
Participants will receive chlorambucil and obinutuzumab (G-Clb) for 6 cycles. Participants will receive obinutuzumab, 1000 mg intravenously (IV) on Days 1, 8 and 15 of Cycle 1, and on Day 1 of Cycles 2 to 6 and chlorambucil 0.5 milligrams per kilogram (mg/kg) body weight, on Days 1 and 15 of Cycles 1 to 6. Participants who subsequently develop progressive disease may enter to Subsequent Therapy Phase to receive single-agent ibrutinib until disease progression or unacceptable toxicity. |
Participants will receive ibrutinib 420 mg orally once daily until disease progression or unacceptable toxicity during the subsequent therapy phase. Participants will receive chlorambucil at a dose of 0.5 mg/kg body weight on Days 1 and 15 of Cycles 1 to 6. Participant will receive obinutuzumab 1000 mg intravenously on Days 1, 8, and 15 of Cycle 1, and Day 1 of Cycles 2 to 6. |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Progression Free Survival (PFS)
Tidsramme: Up to 2 years 10 months
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PFS: time between date of randomization and date of disease progression, as assessed by IRC, or date of death due to any cause, whichever occurs first, regardless of use of subsequent anti-cancer therapy prior to PD or death using iWCLL2008 criteria : New enlarged lymph nodes >15 mm, new hepatomegaly or splenomegaly, or other organ infiltrates, bone lesion, ascites or pleural effusion due to CLL; >=50% increase in longest diameter (LDi) from nadir in existing lymph node (LDi >15 mm) or >=50% increase from nadir in sum of diameters of multiple nodes (and at least 1 node with LDi >15 mm); >=50% increase from nadir in enlargement of liver/spleen; >=50% increase from baseline in lymphocyte count (ALC; to >=5*10^9/L); or >=50% increase from nadir in ALC in >=2 serial assessments if ALC is >=30000*10^9/L and lymphocyte doubling time is rapid unless considered treatment-related lymphocytosis; new cytopenia attributable to CLL; transformation to more aggressive histology. |
Up to 2 years 10 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Minimal Residual Disease (MRD) Negative Rate
Tidsramme: Up to 2 years 10 months
|
MRD-negative rate is defined as the percentage of participants who achieved MRD-negative status (that is, less than [<] 1 chronic lymphocytic leukemia (CLL) cell per 10,000 leukocytes or <0.01 percentage [%]) in the bone marrow as assessed by next-generation sequencing (NGS). Participants with missing MRD data were considered MRD positive. |
Up to 2 years 10 months
|
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Complete Response Rate (CRR)
Tidsramme: Up to 2 years 10 months
|
Complete response rate is defined as the percentage of participants who achieved complete response or complete response with an incomplete marrow recovery (CRi) on or prior to initiation of subsequent anti-leukemic therapy per the IRC assessment. International Workshop on Chronic Lymphocytic Leukemia (iWCLL) 2008 criteria: CR- No lymphadenopathy and hepatosplenomegaly, no constitutional symptoms, neutrophils >1.5*10^9/liter (L), platelets >100*10^9/L, Hgb >11 gram per deciliter (g/dL), absolute lymphocyte count <4000/microliter (mcL) and normocellular bone marrow with <30% lymphocytes and no B lymphoid nodules; CRi- CR with incomplete recovery of bone marrow. |
Up to 2 years 10 months
|
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Overall Response Rate (ORR)
Tidsramme: Up to 2 years 10 months
|
ORR: percentage of participants who achieved best overall response of either CR, CRi, nodular PR (nPR) and partial response (PR). iWCLL 2008 criteria: CR- No lymphadenopathy and hepatosplenomegaly, no constitutional symptoms, neutrophils >1.5*10^9/liter (L), platelets >100*10^9/L, Hgb >11 g/dL and ALC <4000/mcL, normocellular bone marrow with <30% lymphocytes and no B lymphoid nodules; CRi- CR with incomplete recovery of bone marrow; nPR- participants meet criteria for CR, but bone marrow biopsy shows B-lymphoid nodules (reflecting residual disease); PR-2 of following when abnormal at baseline: >=50% decrease in ALC, >=50% decrease in sum of products of multiple nodes, >=50% decrease in enlargement of spleen or liver; and 1 of following: neutrophils >1.5*10^9/L, Platelets >100*10^9/L and Hgb>11 g/dL or >=50% improvement over baseline in any of these; 50% reduction in bone marrow infiltrates or B lymphoid nodules; no new enlarged nodes or new hepatosplenomegaly. |
Up to 2 years 10 months
|
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Overall Survival (OS)
Tidsramme: Up to 4 years 10 months
|
OS is defined as the time from date of randomization to date of death from any cause. |
Up to 4 years 10 months
|
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Duration of Response (DOR)
Tidsramme: Up to 2 years 10 months
|
DOR is defined as the interval between the date of initial documentation of a response including partial response with lymphocytosis (PRL) and the date of first documented evidence of PD or death or date of censoring per the IRC assessment. iWCLL 2008 criteria for PD: New enlarged nodes >1.5 cm, new hepatomegaly or splenomegaly, or other organ infiltrates; >= 50% increase from nadir in existing lymph node or >=50% increase from nadir in sum of product of diameters of multiple nodes; >=50% increase from nadir in enlargement of liver or spleen; >=50% increase from baseline in lymphocyte count (and to >=5*10^9/L) unless considered treatment-related lymphocytosis; new cytopenia (Hemoglobin b or platelets) attributable to CLL; transformation to a more aggressive histology. |
Up to 2 years 10 months
|
|
Time-to-Next Treatment
Tidsramme: Up to 2 years 10 months
|
Time-to-next treatment was measured from the date of randomization to the start date of any subsequent anti-leukemic therapy. |
Up to 2 years 10 months
|
|
Time to Worsening as Measured by Using EuroQol 5 Dimension 5 Level Questionnaire (EQ-5D-5L)
Tidsramme: Up to 2 years 10 months
|
Time to worsening= time interval (months) from randomization to first observation of deterioration. EQ-5D-5L consists of a 5-item descriptive system and the EuroQol visual analog scale (EQ-5D VAS). EQ-5D-VAS self-rating records respondent's own assessment of his/her overall health status at time of completion, on scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Worsening is defined as a decrease of >= 7 points (on a 0-100 scale). EQ-5D-5L descriptive system comprises 5 dimensions of health (mobility, self -care, usual activities, pain/discomfort, and anxiety/depression) to describe participant's current health state. Responses for 5 dimensions are combined into a 5-digit number describing respondents health state that can be converted into a single index value or utility score (using the United Kingdom weights), ranging from -1 to 1, where lower scores indicate a worse health status. Worsening is defined as a decrease of >=0.08 points (on a 0-1 scale). |
Up to 2 years 10 months
|
|
Time to Worsening Measured by European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire (EORTC QLQ)-C30)
Tidsramme: Up to 2 years 10 months
|
Time to worsening= time interval from randomization to first observation of deterioration. EORTC QLQ-C30 includes 30 separate items: 5 functional scales (physical, role, emotional, cognitive, and social Functioning), 1 global health status (GHS) and QoL scale, 3 symptom scales (fatigue, nausea/vomiting, and pain), and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Each item, except GHS, is answered on 4-point scale (1=not at all to 4=very much) and GHS is measured on 1-7 scale: 1=very poor and 7=excellent. Scores derived using validated scoring algorithms as per EORTC QLQ-C30 Manual and linearly transformed in a range from 0-100. For functional and global QoL scales, higher scores=better level of functioning/QoL. For symptom-oriented scales, higher score=more severe symptoms. Worsening in functional and global health scores=decrease of >=10 points (on 0-100 scale) and in symptom scores=increase of >=10 points (on 0-100 scale). |
Up to 2 years 10 months
|
|
Time to Worsening and Time to Improvement as Measured by Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Total Score
Tidsramme: Up to 2 years 10 months
|
Responses to the 13-item FACIT Fatigue Scale are reported on a 5-point categorical response scale ranging from 0 (not at all) to 4 (very much). The sum of all responses resulted in the FACIT-Fatigue score for a total possible score of 0 (worst score) to 52 (best score). Time to Worsening is defined as time interval (months) from randomization to first observation of deterioration. Worsening is defined as a decrease >= 3 points (on a 0-52 scale). Time to improvement is defined as the time interval (months) from randomization to the first observation of improvement. Improvement is defined as an increase >=3 points (on a 0-52 scale). |
Up to 2 years 10 months
|
|
Number of Participants With Adverse Events (AEs) as a Measure of Safety and Tolerability
Tidsramme: Up to 4 years 10 months
|
An adverse event (AE) is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. |
Up to 4 years 10 months
|
|
Number of Participants With Abnormal Clinical Laboratory Findings
Tidsramme: Up to 4 years 10 months
|
Number of participants with abnormal clinical laboratory findings (hematology and serum chemistry) were reported. |
Up to 4 years 10 months
|
|
Percentage of Participants With Sustained Hemoglobin Improvement
Tidsramme: Up to 2 years 10 months
|
Sustained hemoglobin improvement is defined as the percentage of participants who achieved an increase in hemoglobin levels from baseline by >= 2 grams per deciliter (g/dL) and lasts for at least 56 days without blood transfusion or growth factors. |
Up to 2 years 10 months
|
|
Percentage of Participants With Sustained Platelet Improvement
Tidsramme: Up to 2 years 10 months
|
Sustained platelet improvement is defined as the percentage of participants who achieved an increase in platelet levels from baseline by >= 50% and lasts for at least 56 days without blood transfusion or growth factors. |
Up to 2 years 10 months
|
|
Plasma Concentration of Ibrutinib and Venetoclax
Tidsramme: Ibrutinib: Pre-dose-Day 1 of Cycles 2, 3, 5 and 6 (each cycle is defined as 28 days), Venetoclax: Pre-dose-Day 1 of Cycles 5 and 6
|
Plasma concentrations of ibrutinib and venetoclax were determined by validated liquid chromatography-tandem mass spectrometry. |
Ibrutinib: Pre-dose-Day 1 of Cycles 2, 3, 5 and 6 (each cycle is defined as 28 days), Venetoclax: Pre-dose-Day 1 of Cycles 5 and 6
|
Samarbeidspartnere og etterforskere
Samarbeidspartnere
Etterforskere
- Studieleder: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Kater AP, Owen C, Moreno C, Follows G, Munir T, Levin MD, Benjamini O, Janssens A, Osterborg A, Robak T, Simkovic M, Stevens D, Voloshin S, Vorobyev V, Ysebaert L, Qin R, Steele AJ, Schuier N, Baeten K, Caces DB, Niemann CU. Fixed-Duration Ibrutinib-Venetoclax in Patients with Chronic Lymphocytic Leukemia and Comorbidities. NEJM Evid. 2022 Jul;1(7):EVIDoa2200006. doi: 10.1056/EVIDoa2200006. Epub 2022 May 13.
- Niemann CU, Munir T, Moreno C, Owen C, Follows GA, Benjamini O, Janssens A, Levin MD, Robak T, Simkovic M, Voloshin S, Vorobyev V, Yagci M, Ysebaert L, Qi K, Qi Q, Sinet P, Parisi L, Srinivasan S, Schuier N, Baeten K, Howes A, Caces DB, Kater AP. Fixed-duration ibrutinib-venetoclax versus chlorambucil-obinutuzumab in previously untreated chronic lymphocytic leukaemia (GLOW): 4-year follow-up from a multicentre, open-label, randomised, phase 3 trial. Lancet Oncol. 2023 Dec;24(12):1423-1433. doi: 10.1016/S1470-2045(23)00452-7. Epub 2023 Nov 6.
- Moreno C, Solman IG, Tam CS, Grigg A, Scarfo L, Kipps TJ, Srinivasan S, Mali RS, Zhou C, Dean JP, Szafer-Glusman E, Choi M. Immune restoration with ibrutinib plus venetoclax in first-line chronic lymphocytic leukemia: the phase 2 CAPTIVATE study. Blood Adv. 2023 Sep 26;7(18):5294-5303. doi: 10.1182/bloodadvances.2023010236.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Patologiske prosesser
- Neoplasmer
- Kronisk sykdom
- Sykdomsattributter
- Sykdommer i immunsystemet
- Neoplasmer etter histologisk type
- Hematologiske sykdommer
- Lymfesykdommer
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Leukemi, B-celle
- Leukemi, lymfoid
- Leukemi
- Patologiske tilstander, tegn og symptomer
- Hemic og lymfatiske sykdommer
- Leukemi, lymfatisk, kronisk, B-celle
- Organiske kjemikalier
- Hydrokarboner
- Nitrogen sennepsforbindelser
- Sennepsforbindelser
- Hydrokarboner, halogenert
- Klorambucil
- Venetoclax
- Obinutuzumab
- Ibrutinib
Andre studie-ID-numre
- CR108428
- 2017 (U.S. NIH-stipend/kontrakt)
- 2017-004699-77 (EudraCT-nummer)
- 54179060CLL3011 (Annen identifikator: Janssen Research & Development, LLC)
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
produkt produsert i og eksportert fra USA
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