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En studie av Nemtabrutinib Plus Venetoclax vs Venetoclax + Rituximab (VR) i andrelinje (2L) + residiverende/refraktær (R/R) kronisk lymfatisk leukemi/liten lymfatisk lymfom (KLL/SLL) (MK-1026-010/BELLWAVE- 010)

4. november 2026 oppdatert av: Merck Sharp & Dohme LLC

En fase 3, åpen, randomisert studie for å sammenligne effektiviteten og sikkerheten til Nemtabrutinib (MK-1026) Plus Venetoclax versus Venetoclax Plus Rituximab hos deltakere med residiverende/refraktær kronisk lymfatisk leukemi/liten lymfatisk lymfom 1 som følger ved LeastAVE eller Therapy -010)

The purpose of this study is to assess the safety and tolerability and to confirm the dose of nemtabrutinib in combination with venetoclax in participants with R/R CLL/SLL. The primary study hypotheses are that the combination of nemtabrutinib plus venetoclax is superior to VR with respect to progression-free survival (PFS) per 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria as assessed by blinded independent central review (BICR).

Studieoversikt

Studietype

Intervensjonell

Registrering (Antatt)

735

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

      • Buenos Aires, Argentina, 1414
        • Rekruttering
        • Centro Medico Fleischer ( Site 1006)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +541148544097
      • Buenos Aires, Argentina, C1118AAT
        • Rekruttering
        • Hospital Aleman-oncohematologic diseases ( Site 1001)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +541148277000
    • Buenos Aires
      • Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, C1426ANZ
        • Rekruttering
        • Instituto Alexander Fleming ( Site 1005)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +541132218900
      • Mar del Plata, Buenos Aires, Argentina, B7600FZO
        • Rekruttering
        • Instituto de Investigaciones Clínicas Mar del Plata ( Site 1007)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +542234963224
    • Buenos Aires F.D.
      • Buenos Aires, Buenos Aires F.D., Argentina, C1431FWO
        • Rekruttering
        • Centro de Educación Médica e Investigaciones Clínicas (CEMIC)-Hematology ( Site 1002)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +541152991200
    • Santa Fe Province
      • Rosario, Santa Fe Province, Argentina, S2000DSV
        • Rekruttering
        • Sanatorio Parque ( Site 1003)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +543414200222
    • South Australia
      • Adelaide, South Australia, Australia, 5000
        • Rekruttering
        • Royal Adelaide Hospital ( Site 1104)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +61870740000
    • Victoria
      • Box Hill, Victoria, Australia, 3128
        • Rekruttering
        • Box Hill Hospital ( Site 1106)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +61438659719
      • Melbourne, Victoria, Australia, 3021
        • Rekruttering
        • Western Health-Sunshine & Footscray Hospitals-Cancer Services-Cancer Research ( Site 1103)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +61383959130
      • Antwerp, Belgia, 2030
        • Rekruttering
        • ZAS Cadix ( Site 1203)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +32 3/339 76 38
    • Vlaams-Brabant
      • Leuven, Vlaams-Brabant, Belgia, 3000
        • Rekruttering
        • UZ Leuven-Hematology ( Site 1200)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +32 16/338544
      • São Paulo, Brasil, 01246-000
        • Aktiv, ikke rekrutterende
        • ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO-Pesquisa Clinica ( Site 1308)
      • São Paulo, Brasil, 01321-001
        • Rekruttering
        • Hospital Paulistano-Americas Oncologia ( Site 1302)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +5511992926463
    • São Paulo
      • Jaú, São Paulo, Brasil, 17210-120
        • Rekruttering
        • Hospital Amaral Carvalho-Centro de Pesquisas ( Site 1304)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 5514991337515
    • New Brunswick
      • Moncton, New Brunswick, Canada, E1C 6Z8
        • Rekruttering
        • The Moncton Hospital ( Site 1414)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 506-870-2404
    • Ontario
      • Kingston, Ontario, Canada, K7L 2V7
        • Rekruttering
        • Kingston Health Sciences Centre-Kingston General Hospital Site ( Site 1416)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 6479217469
    • Quebec
      • Greenfield Park, Quebec, Canada, J4V 2H1
        • Rekruttering
        • Centre Intégré de Santé et de Services Sociaux de la Montérégie-Centre ( Site 1402)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 450-466-5000 x3226
      • Sherbrooke, Quebec, Canada, J1H 5H4
        • Rekruttering
        • Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer ( Site 1410)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 819-346-1110 x12811
    • Biobio
      • Concepción, Biobio, Chile, 4070196
        • Rekruttering
        • Biocenter ( Site 1507)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +56412858421
    • Coquimbo Region
      • La Serena, Coquimbo Region, Chile, 1720430
        • Rekruttering
        • IC La Serena Research ( Site 1506)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +56958646664
    • Region M. de Santiago
      • Santiago, Region M. de Santiago, Chile, 7500653
        • Rekruttering
        • Centro de Estudios Clínicos SAGA-CECSAGA ( Site 1509)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +56991612199
      • Santiago, Region M. de Santiago, Chile, 7500921
        • Rekruttering
        • FALP-UIDO ( Site 1500)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 56224205098
      • Santiago, Region M. de Santiago, Chile, 7580206
        • Rekruttering
        • Clínica Inmunocel ( Site 1511)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +56224376600
      • Santiago, Region M. de Santiago, Chile, 7650568
        • Rekruttering
        • Clinica Alemana de Santiago ( Site 1514)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +56996197211
      • Santiago, Region M. de Santiago, Chile, 8420383
        • Rekruttering
        • Bradfordhill ( Site 1512)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +56229490970
    • Antioquia
      • Medellín, Antioquia, Colombia, 050030
        • Rekruttering
        • Fundacion Colombiana de Cancerología Clinica Vida ( Site 1707)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +576044480016Ext2204
    • Valle del Cauca Department
      • Cali, Valle del Cauca Department, Colombia, 760032
        • Rekruttering
        • Fundación Valle del Lili ( Site 1703)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 57 3133288646
    • Arkansas
      • Springdale, Arkansas, Forente stater, 72762
        • Rekruttering
        • Highlands Oncology Group ( Site 5405)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 479-872-8130
    • California
      • Long Beach, California, Forente stater, 90806
        • Rekruttering
        • MemorialCare Health System - Long Beach Medical Center ( Site 5421)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 562-933-7866
    • Florida
      • Clermont, Florida, Forente stater, 34711
        • Rekruttering
        • Clermont Oncology Center ( Site 5430)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 386-538-3169
      • Pembroke Pines, Florida, Forente stater, 33028
        • Rekruttering
        • Memorial Hospital West ( Site 5410)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 954-844-8318
    • Indiana
      • Fort Wayne, Indiana, Forente stater, 46804
        • Rekruttering
        • Fort Wayne Medical Oncology and Hematology ( Site 5444)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 260-436-0800
    • Maryland
      • Bethesda, Maryland, Forente stater, 20817
        • Rekruttering
        • Center for Cancer and Blood Disorders ( Site 5439)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 301-571-2016
    • Minnesota
      • Marshall, Minnesota, Forente stater, 56258
        • Rekruttering
        • Avera Cancer Institute - Marshall ( Site 5462)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 605-601-1830
    • Mississippi
      • Hattiesburg, Mississippi, Forente stater, 39401
        • Rekruttering
        • Hattiesburg Clinic Hematology/Oncology ( Site 5416)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 601-261-1700
    • Missouri
      • Kansas City, Missouri, Forente stater, 64132
        • Rekruttering
        • MidAmerica Cancer Care, LLC ( Site 5426)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 816-974-5050
    • Montana
      • Billings, Montana, Forente stater, 59102
        • Rekruttering
        • Intermountain Health St. Vincent Regional Hospital - Cancer Centers of Montana ( Site 5433)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 406-238-6685
    • Nevada
      • Reno, Nevada, Forente stater, 89502
        • Rekruttering
        • Renown Regional Medical Center-Renown Health Medical Oncology ( Site 5434)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 775-982-4000
    • New Jersey
      • Morristown, New Jersey, Forente stater, 07960
        • Rekruttering
        • Atlantic Health System Morristown Medical Center ( Site 5445)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 973-971-5000
    • New York
      • Albany, New York, Forente stater, 12208
        • Rekruttering
        • New York Oncology Hematology, P.C. ( Site 5453)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 518-262-6696
    • Oregon
      • Portland, Oregon, Forente stater, 97239-3011
        • Rekruttering
        • Oregon Health and Science University ( Site 5425)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 503-494-5058
    • South Dakota
      • Aberdeen, South Dakota, Forente stater, 57401
        • Rekruttering
        • Avera Cancer Institute - Aberdeen ( Site 5458)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 605-601-1830
      • Mitchell, South Dakota, Forente stater, 57301
        • Rekruttering
        • Avera Cancer Institute - Mitchell ( Site 5461)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 605-322-3299
      • Pierre, South Dakota, Forente stater, 57501
        • Rekruttering
        • Avera Cancer Institute - Pierre ( Site 5460)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 605-601-1830
      • Sioux Falls, South Dakota, Forente stater, 57105
        • Rekruttering
        • Avera Cancer Institute- Research ( Site 5437)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 605-322-3035
      • Yankton, South Dakota, Forente stater, 57078
        • Rekruttering
        • Avera Cancer Institute - Yankton ( Site 5459)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 605-601-1830
    • Texas
      • Sugar Land, Texas, Forente stater, 77479
        • Rekruttering
        • PatientCare Clinical Research LLC ( Site 5435)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 929-712-7467
    • Virginia
      • Charlottesville, Virginia, Forente stater, 22903
        • Rekruttering
        • University of Virginia Cancer Center ( Site 5402)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 434-924-9333
    • Washington
      • Olympia, Washington, Forente stater, 98506
        • Rekruttering
        • Vista Oncology ( Site 5449)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 360-413-8880
      • Spokane, Washington, Forente stater, 99208
        • Rekruttering
        • Medical Oncology Associates, PS ( Site 5406)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 509-462-2273
    • West Virginia
      • Morgantown, West Virginia, Forente stater, 26506
        • Rekruttering
        • West Virginia University ( Site 5447)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 304-598-4500
    • Wisconsin
      • Madison, Wisconsin, Forente stater, 53792
        • Fullført
        • University of Wisconsin Hospital and Clinics-Carbone Cancer Center ( Site 5423)
    • Nord
      • Lille, Nord, Frankrike, 59037
        • Rekruttering
        • Hopital Claude Huriez - CHU de Lille ( Site 2107)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +333 20 44 59 62
    • Puy-de-Dome
      • Clermont-Ferrand, Puy-de-Dome, Frankrike, 63100
        • Rekruttering
        • Centre Hospitalier Universitaire Estaing ( Site 2105)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +33473750065
    • Vendee
      • La Roche-sur-Yon, Vendee, Frankrike, 85925
        • Rekruttering
        • CHD Vendee ( Site 2100)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +33251446572
    • Attica
      • Athens, Attica, Hellas, 106 76
        • Rekruttering
        • Evangelismos General Hospital of Athens ( Site 2302)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 0030 2132041721
      • Athens, Attica, Hellas, 115 27
        • Rekruttering
        • General Hospital of Athens "Laiko" ( Site 2308)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +302132061702
      • Athens, Attica, Hellas, 115 27
        • Rekruttering
        • General Hospital of Athens "Laiko" ( Site 2309)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 0030 2132061643
    • East Macedonia and Thrace
      • Alexandroupoli, East Macedonia and Thrace, Hellas, 681 00
        • Rekruttering
        • GENERAL HOSPITAL OF ALEXANDROUPOLI ( Site 2310)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +302551030320
      • Haifa, Israel, 3109601
        • Rekruttering
        • Rambam Health Care Campus ( Site 2801)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +97247771514
      • Jerusalem, Israel, 9112001
        • Rekruttering
        • Hadassah Medical Center-Hemato-Oncology ( Site 2812)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +972-539101736
      • Ramat Gan, Israel, 5265601
        • Rekruttering
        • Sheba Medical Center-Hemato Oncology ( Site 2809)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +972-35308401
      • Tel Aviv, Israel, 6423906
        • Rekruttering
        • Sourasky Medical Center ( Site 2811)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +97237772649
      • Alessandria, Italia, 15121
        • Rekruttering
        • Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo ( Site 2906)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +390131206440
      • Milan, Italia, 20132
        • Rekruttering
        • Ospedale San Raffaele-Programma di Ricerca Strategica sulla LLC ( Site 2902)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +390226436119
      • Reggio Emilia, Italia, 42123
        • Rekruttering
        • Arcispedale Santa Maria Nuova-Hematology ( Site 2900)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +390522295654
      • Hiroshima, Japan, 730-8619
        • Rekruttering
        • Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital ( Site 3006)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-82-241-3111
      • Nagasaki, Japan, 852-8501
        • Rekruttering
        • Nagasaki University Hospital ( Site 3008)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-95-819-7200
      • Osaka, Japan, 540-0006
        • Rekruttering
        • National Hospital Organization Osaka National Hospital ( Site 3004)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-6-6942-1331
      • Yamagata, Japan, 990-9585
        • Rekruttering
        • Yamagata University Hospital ( Site 3002)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-23-633-1122
    • Hokkaido
      • Sapporo, Hokkaido, Japan, 060-8648
        • Rekruttering
        • Hokkaido University Hospital ( Site 3000)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-11-716-1161
    • Kochi
      • Nankoku, Kochi, Japan, 783-8505
        • Rekruttering
        • Kochi Medical School Hospital ( Site 3007)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-88-866-5811
    • Osaka
      • Sakai, Osaka, Japan, 590-0197
        • Rekruttering
        • Kindai University Hospital ( Site 3005)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-72-288-7222
    • Shimane
      • Izumo, Shimane, Japan, 693-8501
        • Rekruttering
        • Shimane University Hospital ( Site 3009)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-853-23-2111
    • Tokyo
      • Koto, Tokyo, Japan, 135-8550
        • Rekruttering
        • Cancer Institute Hospital of JFCR ( Site 3003)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +81-3-3520-0111
    • Mexico City
      • Mexico City, Mexico City, Mexico, 03100
        • Rekruttering
        • Centro de Infusion Superare ( Site 3314)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +52 55 5264 6440
      • Mexico City, Mexico City, Mexico, 03100
        • Rekruttering
        • Health Pharma Professional Research S.A. de C.V: ( Site 3301)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +52 55 7586 4856
    • Michoacán
      • Morelia, Michoacán, Mexico, 58260
        • Rekruttering
        • Centro de Investigacion Clinica Chapultepec ( Site 3309)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +52 443 147 8545
      • Auckland, New Zealand, 0622
        • Rekruttering
        • North Shore Hospital-Department of Haematology ( Site 3505)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +6494868920x49725
      • Auckland, New Zealand, 2025
        • Rekruttering
        • Aotearoa Clinical Trials ( Site 3504)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +6433640386
    • Canterbury
      • Christchurch, Canterbury, New Zealand, 8011
        • Rekruttering
        • Christchurch Hospital ( Site 3503)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +6433640386
    • Manawatu-Wanganui
      • Palmerston North, Manawatu-Wanganui, New Zealand, 4414
        • Rekruttering
        • Palmerston North Hospital ( Site 3506)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +6463509169
      • Porto, Portugal, 4200-072
        • Rekruttering
        • Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 3800)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 00351225084000
      • San Juan, Puerto Rico, 00918
        • Rekruttering
        • Auxilio Mutuo Cancer Center ( Site 3900)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 7877582000
      • San Juan, Puerto Rico, 00917
        • Rekruttering
        • BRCR Global Puerto Rico - Hato Rey ( Site 3901)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +17875612375195
    • Barcelona
      • L'Hospitalet Del Llobregat, Barcelona, Spania, 08908
        • Rekruttering
        • Instituto Catalan de Oncologia - Hospital Duran i Reynals-Haematology Department ( Site 4601)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +34932607750
    • Madrid
      • Pozuelo de Alarcón, Madrid, Spania, 28223
        • Rekruttering
        • HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID ( Site 4602)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 914521900
    • Valenciana, Comunitat
      • Valencia, Valenciana, Comunitat, Spania, 46010
        • Rekruttering
        • HOSPITAL CLINICO DE VALENCIA-HEMATOLOGY ( Site 4603)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 961973930
    • England
      • Nottingham, England, Storbritannia, NG5 1PF
        • Rekruttering
        • City Hospital, Nottingham University Hospitals-Hematology ( Site 5002)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +44115969116972549
    • London, City of
      • London-Camden, London, City of, Storbritannia, NW1 2PG
        • Rekruttering
        • University College London Hospital-Cancer Clinical Trials Unit ( Site 5001)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +4420 3447 2528
    • Gauteng
      • Pretoria, Gauteng, Sør-Afrika, 0181
        • Rekruttering
        • Alberts Cellular Therapy. ( Site 4401)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +27 12 993 2555
    • Western Cape
      • Cape Town, Western Cape, Sør-Afrika, 7925
        • Rekruttering
        • Groote Schuur Hospital ( Site 4400)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +27727689024
      • Kuilsriver, Western Cape, Sør-Afrika, 7580
        • Rekruttering
        • Haemalife ( Site 4407)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +27 21 900 6277
      • Kaohsiung City, Taiwan, 83301
        • Rekruttering
        • Chang Gung Memorial Hospital at Kaohsiung-Division of Hematology and Oncology ( Site 4700)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +88677317123
      • Tainan, Taiwan, 704
        • Rekruttering
        • National Cheng Kung University Hospital ( Site 4701)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +88662353535
      • Taipei, Taiwan, 10048
        • Rekruttering
        • National Taiwan University Hospital ( Site 4704)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +886223123456
    • Taipei
      • Taipei City, Taipei, Taiwan, 114
        • Rekruttering
        • Tri-Service General Hospital-hematology&oncology ( Site 4703)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +886287923311
      • Ankara, Tyrkia (Türkiye), 06100
        • Fullført
        • Ankara Universitesi Tip Fakultesi Hastanesi-hematology ( Site 4913)
      • Istanbul, Tyrkia (Türkiye), 34214
        • Rekruttering
        • Mega Medipol-Hematology ( Site 4904)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 0212 444 70 44
      • Istanbul, Tyrkia (Türkiye), 34722
        • Rekruttering
        • TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi ( Site 4906)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 0090 216 606 52 00
      • Istanbul, Tyrkia (Türkiye), 34381
        • Rekruttering
        • Sisli Florence Nightingale Hastanesi ( Site 4916)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 905348310606
    • Tekirdas
      • Tekirdağ, Tekirdas, Tyrkia (Türkiye), 59100
        • Rekruttering
        • Namik Kemal University Medical Faculty-Hematology ( Site 4912)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: 0090 282 250 50 50
    • İzmir
      • Bornova, İzmir, Tyrkia (Türkiye), 35100
        • Rekruttering
        • Ege Universitesi Hastanesi ( Site 4902)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +905325566128
    • Baden-Wurttemberg
      • Ulm, Baden-Wurttemberg, Tyskland, 89081
        • Rekruttering
        • Universitaetsklinikum Ulm. ( Site 2206)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +497315000
    • Rhineland-Palatinate
      • Trier, Rhineland-Palatinate, Tyskland, 54290
        • Rekruttering
        • Klinikum Mutterhaus der Borromäerinnen-Innere Medizin I ( Site 2203)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +496519472571
    • Saxony
      • Leipzig, Saxony, Tyskland, 04103
        • Rekruttering
        • Universitätsklinikum Leipzig-Medical Department I - Hematology and Celltherapy ( Site 2201)
        • Ta kontakt med:
          • Study Coordinator
          • Telefonnummer: +49 341 97 13131

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Confirmed diagnosis of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and active disease clearly documented to initiate therapy
  • Deletion (Del) (17p) status, tumor protein 53 (TP53) mutation status, and immunoglobulin heavy chain gene (IGHV) mutation status results required before randomization for Part 2 participants only
  • Relapsed or refractory to at least 1 prior available therapy
  • Have at least 1 marker of disease burden
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 within 7 days before randomization
  • Has a life expectancy of at least 3 months
  • Has the ability to swallow and retain oral medication
  • Participants who are hepatitis B surface antigen (HBsAg) positive are eligible if they have received hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and have undetectable HBV deoxyribonucleic acid (DNA) viral load before randomization
  • Participants with history of hepatitis C virus (HCV) infection are eligible if HCV ribonucleic acid (RNA) viral load is undetectable at screening
  • Participants with human immunodeficiency virus (HIV) who meet ALL eligibility criteria
  • Participants with adequate organ function with specimens collected within 7 days before the start of study intervention
  • If capable of producing sperm, participant agrees to eliminate Nemtabrutinib: 12 days, Venetoclax: 1 month (30 days), Rituximab (rituximab biosimilar): not applicable; abstains from penile-vaginal intercourse as their preferred and usual lifestyle; OR uses prescribed contraception
  • Participant assigned female sex at birth are eligible to participate if not pregnant or breastfeeding and are not a person of childbearing potential (POCBP) OR is a POCBP and uses a contraceptive method that is highly effective, has a negative highly sensitive pregnancy test, and abstains from breastfeeding

Exclusion Criteria:

  • Has an active hepatitis B virus/ hepatitis C virus (HBV/HCV) infection
  • Has gastrointestinal (GI) dysfunction that may affect drug absorption
  • Has a known additional malignancy that is progressing or has required active treatment within the past 2 years
  • Has diagnosis of Richter Transformation or active central nervous system (CNS) involvement by CLL/SLL
  • Has an active infection requiring systemic therapy, such as intravenous (IV) antibiotics, during screening
  • HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease and/or acquired immune deficiency syndrome (AIDS)-defining opportunistic infection in the past 12 months before screening
  • Clinically significant cardiovascular disease
  • Has a known allergy/sensitivity to nemtabrutinib or contraindication to venetoclax/rituximab (or rituximab biosimilar), or any of the excipients
  • Has history of severe bleeding disorders (eg, hemophilia)
  • Has received prior systemic anticancer therapy within 5 half-lives or 4 weeks (if prior therapy was a monoclonal antibody) before randomization
  • Has received prior B-cell lymphoma 2 inhibitor(s) (BCL2i) within ≤ 12 months before randomization or has received prior radiotherapy within 2 weeks of start of study intervention, or radiation related toxicities, requiring corticosteroids
  • Is currently being treated with p-glycoprotein (P-gp) substrates with a narrow therapeutic index, cytochrome P450 3A (CYP3A) strong or moderate inducers or CYP3A strong inhibitors.
  • Has received a live or live attenuated vaccine within 30 days before the first dose of study intervention
  • Has received an investigational agent or has used an investigational device within 4 weeks before study intervention administration
  • Has a known psychiatric or substance use disorder that would interfere with the participant's ability to cooperate with the requirements of the study
  • Participants who have not adequately recovered from major surgery or have ongoing surgical complications

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Nemtabrutinib + Venetoclax

Participants will receive nemtrabrutinib oral tablets at specified doses daily starting at Cycle 1 Day 1 (C1D1) and venetoclax oral tablets at doses of 20 mg up to 400 mg daily starting at Cycle 2 Day 1 (C2D1) up to 2 years post C2D1 or until progressive disease (PD) or discontinuation. A cycle = 4 weeks.

5, 20, and 45 tablets

Andre navn:
  • MK-1026
  • ARQ 531

10, 50, and 100 mg tablets

Andre navn:
  • ABT-199
  • GDC-0199
Aktiv komparator: Venetoclax + Rituximab

Participants will receive venetoclax oral tablets at doses from 20 mg up to 400 mg daily starting at C1D1 on 4-week cycles up to 2 years and rituximab or biosimilar at 375 mg/m^2 up to 500 mg/m2 intravenous infusion once per 28-day cycle starting at C2D1, for 6 total cycles. Treatment will continue until progressive disease (PD) or discontinuation.

10, 50, and 100 mg tablets

Andre navn:
  • ABT-199
  • GDC-0199

100 mg/10 mL, 500 mg/50 mL (10 mg/mL) IV Infusion

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Part 1: Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)
Tidsramme: Up to approximately 12 Weeks

DLT evaluation period is defined as 8 weeks after the first dose of the combination treatment of nemtabrutinib plus venetoclax Cycle 2 Day 1 in Part 1 + 4 weeks follow up. Each cycle is 4 weeks. DLTs are: Grade ≥3 nonhematologic toxicity (except Grade 3 nausea, vomiting, diarrhea, rash, fatigue, and uncontrolled hypertension which will not be considered a DLT unless lasting ≥72 hours despite optimal supportive care); Grade 4 hematologic toxicity lasting >7 days (except Grade 3 lymphocytosis, Grade 4 platelet count decreased of any duration, or Grade 3 platelet count decreased if associated with bleeding); any Grade 3 or Grade 4 nonhematologic laboratory abnormality if values result in drug-induced liver injury, or medical intervention is required, or the abnormality leads to hospitalization, or the abnormality persists for >1 week (with exceptions); missing >25% of nemtabrutinib or venetoclax doses as a result of drug-related adverse events during the first 2 cycles; Grade 5 toxicity.

Up to approximately 12 Weeks
Part 1: Number of Participants Experiencing Adverse Events (AEs)
Tidsramme: Up to approximately 28 months

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants experiencing AEs will be reported for Part 1.

Up to approximately 28 months
Part 1: Number of Participants Discontinuing Study Treatment Due to AEs
Tidsramme: Up to approximately 25 months

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants discontinuing study treatment due to AEs will be reported for Part 1.

Up to approximately 25 months
Part 2: PFS per the 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) Criteria as Assessed by Blinded Independent Central Review (BICR)
Tidsramme: Up to approximately 71 months

PFS is defined as the time from randomization to the first documented disease progression per iwCLL criteria 2018 as accessed by BICR, or death due to any cause, whichever occurs first. PFS will be presented.

Up to approximately 71 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Part 2: Undetectable Minimal Residual Disease (MRD) Rate in Bone Marrow as Assessed by Central Laboratory
Tidsramme: Up to approximately 46 months

Undetectable MRD, defined as <1 leukemic cell per 10,000 cells (MRD <10-4) in bone marrow. The MRD rate will be presented.

Up to approximately 46 months
Part 2: Overall Survival (OS)
Tidsramme: Up to approximately 108 months

OS, defined as the time from randomization to death due to any cause. OS will be presented.

Up to approximately 108 months
Part 2: Objective Response Rate (ORR) per iwCLL Criteria 2018 as Assessed by BICR
Tidsramme: Up to approximately 71 months

OR, defined as complete response/remission (CR), complete response with incomplete count recovery (CRi), nodular partial remission (nPR), or partial remission (PR). CR is defined as meeting the following criteria: no lymph nodes >1.5 cm, spleen size <13 cm, liver normal; no constitutional symptoms, normal lymphocyte count, platelets ≥100 x 10^9/L; hemoglobin ≥11 g/dL; and normocellular marrow (no CLL cells or B lymphoid nodules). CRi is defined as meeting CR criteria but with hypocellular bone marrow. nPR is defined as having features of CR but with lymphoid nodules in the marrow. PR is defined as ≥50% decrease in ≥2 of the following: lymph nodes, liver and/or spleen size, lymphocytes PLUS ≥1 of the following met: platelets ≥100 x 10^9/L or ≥50% increase from screening, hemoglobin >11 g/dL or ≥50% increase from screening, CLL cells or B lymphoid nodules in marrow. ORR will be presented.

Up to approximately 71 months
Part 2: Duration of Response (DOR) per iwCLL Criteria 2018 as Assessed by BICR
Tidsramme: Up to approximately 108 months

DOR, defined as the time from the first documented evidence of CR, CRi, nPR, or PR that led to response until disease progression or death due to any cause, whichever occurs first. CR is defined as meeting the following criteria: no lymph nodes >1.5 cm, spleen size <13 cm, liver normal; no constitutional symptoms, normal lymphocyte count, platelets ≥100 x 10^9/L; hemoglobin ≥11 g/dL; and normocellular marrow (no CLL cells or B lymphoid nodules). CRi is defined as meeting CR criteria but with hypocellular bone marrow. nPR is defined as having features of CR but with lymphoid nodules in the marrow. PR is defined as ≥50% decrease in ≥2 of the following: lymph nodes, liver and/or spleen size, lymphocytes PLUS ≥1 of the following met: platelets ≥100 x 10^9/L or ≥50% increase from screening, hemoglobin >11 g/dL or ≥50% increase from screening, CLL cells or B lymphoid nodules in marrow. DOR will be presented.

Up to approximately 108 months
Part 2: Number of Participants Experiencing AEs
Tidsramme: Up to approximately 28 months

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants experiencing AEs will be reported for Part 2.

Up to approximately 28 months
Part 2: Number of Participants Discontinuing Study Treatment Due to AEs
Tidsramme: Up to approximately 25 months

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants discontinuing study treatment due to AEs will be reported for Part 2.

Up to approximately 25 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Studieleder: Medical Director, Merck Sharp & Dohme LLC

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

8. august 2023

Primær fullføring (Antatt)

1. juni 2032

Studiet fullført (Antatt)

1. juli 2035

Datoer for studieregistrering

Først innsendt

7. juli 2023

Først innsendt som oppfylte QC-kriteriene

7. juli 2023

Først lagt ut (Faktiske)

17. juli 2023

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

6. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Abonnere