Chronic Lymphocytic Leukemia Clinical Trial
Official title:
Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor Ibrutinib Versus Chlorambucil in Patients 65 Years or Older With Treatment-naive Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
A Randomized, Multicenter, Open-label, Phase 3 Study of the Bruton's Tyrosine Kinase Inhibitor PCI-32765 versus Chlorambucil in Patients 65 Years or Older with Treatment-naive Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma.
Study design: This is a randomized, multicenter, open-label, Phase 3 study designed to
compare the safety and efficacy of Ibrutinib versus Chlorambucil in treatment-naive patients
65 years or older who have CLL or SLL.
Eligible patients will be randomized in a 1:1 ratio to Treatment Arm A or B:
- Treatment Arm A: Oral Chlorambucil 0.5 mg/kg on Days 1 and 15 of each 28-day cycle; the
dose can be increased, if well tolerated, in increments of 0.1 mg/kg on Day 1 of each
cycle to a maximum of 0.8 mg/kg; patients receive a minimum of 3 and a maximum of 12
cycles, in the absence of progressive disease or unacceptable toxicity.
- Treatment Arm B: Oral Ibrutinib 420 mg/day Randomization will be stratified on Eastern
Cooperative Oncology Group (ECOG) performance status (0,1 versus 2); presence of
advanced Rai stage (yes/no), advanced being defined as Stages 3-4; and geographic
region: US versus non-US.
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