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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05624554
Other study ID # 1026-008
Secondary ID 2022-500164-35-0
Status Recruiting
Phase Phase 3
First received
Last updated
Start date March 16, 2023
Est. completion date March 17, 2031

Study information

Verified date June 2024
Source Merck Sharp & Dohme LLC
Contact Toll Free Number
Phone 1-888-577-8839
Email Trialsites@merck.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to evaluate the efficacy and safety of nemtabrutinib compared to investigator's choice of fludarabine plus cyclophosphamide plus rituximab (FCR) or bendamustine plus rituximab (BR) in participants with previously untreated CLL/SLL without 17p deletion and/or tumor protein (TP) 53 mutation. The primary hypothesis is that nemtabrutinib is superior to FCR/BR with respect to progression-free survival (PFS).


Recruitment information / eligibility

Status Recruiting
Enrollment 300
Est. completion date March 17, 2031
Est. primary completion date May 19, 2027
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility The main inclusion and exclusion criteria include but are not limited to the following: Inclusion Criteria: - Confirmed diagnosis of chronic lymphocytic leukemia (CLL)/ small lymphocytic lymphoma (SLL) and active disease clearly documented to have a need to initiate therapy - Has previously untreated CLL/SLL participants without tumor protein 53 (TP53) aberrations and documented 11q status and immunoglobulin heavy chain gene (IGHV) mutational status - The ability to swallow and retain oral medication Exclusion Criteria: - Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection - Gastrointestinal dysfunction that may affect drug absorption (eg, gastric bypass surgery, gastrectomy) - Known additional malignancy that is progressing or has required active treatment within the past 3 years, except basal cell carcinoma of skin, squamous cell carcinoma of skin, or carcinoma in situ (eg, breast carcinoma, cervical cancer in situ) that have undergone potential curative therapy - History of severe bleeding disorders - Not adequately recovered from major surgery or has ongoing surgical complications

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Nemtabrutinib
65 mg administered orally daily until disease progression, unacceptable toxicity, or discontinuation criteria met
Fludarabine
25 mg/m^2 administered via intravenous (IV) infusion on Days 1, 2, and 3 of each 28-day cycle up to 6 cycles
Cyclophosphamide
250 mg/m^2 administered via IV infusion on Days 1, 2, and 3 of each 28-day cycle up to 6 cycles
Bendamustine
Administered via IV infusion on Days 1 and 2 of each 28-day cycle up to 6 cycles. The first dose is given as 70 to 90 mg/m^2. Subsequent doses may be escalated up to 90 mg/m^2, if applicable and as per local guidelines
Biological:
Rituximab
Administered as an IV infusion on Day 1 of each 28-day cycle. The initial dose is 375 mg/m^2 (cycle 1) followed by 500 mg/m^2 for remaining cycles
Truxima
Administered as an IV infusion on Day 1 of each 28-day cycle. The initial dose is 375 mg/m^2 (cycle 1) followed by 500 mg/m^2 for remaining cycles
Ruxience
Administered as an IV infusion on Day 1 of each 28-day cycle. The initial dose is 375 mg/m^2 (cycle 1) followed by 500 mg/m^2 for remaining cycles
Riabni
Administered as an IV infusion on Day 1 of each 28-day cycle. The initial dose is 375 mg/m^2 (cycle 1) followed by 500 mg/m^2 for remaining cycles

Locations

Country Name City State
Australia Royal Adelaide Hospital ( Site 1105) Adelaide South Australia
Brazil Hospital Erasto Gaertner-CEPEP - Pesquisa Clínica ( Site 1317) Curitiba Parana
Brazil Hospital Amaral Carvalho-Centro de Pesquisas ( Site 1304) Jaú Sao Paulo
Brazil Instituto Nacional de Câncer - INCA-Divisão de Pesquisa Clínica e Desenvolvimento Tecnológico HC1 ( Rio de Janeiro
Brazil Hospital Paulistano-Americas Oncologia ( Site 1302) Sao Paulo
Brazil A. C. Camargo Cancer Center ( Site 1318) São Paulo Sao Paulo
Brazil ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO-Pesquisa Clinica ( Site 1308) São Paulo Sao Paulo
Chile Biocenter ( Site 1507) Concepción Biobio
Chile IC La Serena Research ( Site 1506) La Serena Coquimbo
Chile Centro de Estudios Clínicos SAGA-CECSAGA ( Site 1509) Santiago Region M. De Santiago
Chile Clínica Inmunocel ( Site 1511) Santiago Region M. De Santiago
Chile FALP-UIDO ( Site 1500) Santiago Region M. De Santiago
Chile James Lind Centro de Investigación del Cáncer ( Site 1503) Temuco Araucania
China Peking University Third Hospital ( Site 1602) Beijing Beijing
China The First Hospital of Jilin University-Hematology ( Site 1621) Changchun Jilin
China Hunan Cancer Hospital ( Site 1615) Changsha Hunan
China Xiangya Hospital Central South University-Hematology department ( Site 1616) Changsha Hunan
China Chongqing University Cancer Hospital ( Site 1605) Chongqing Chongqing
China Chongqing University Three Gorges Hospital ( Site 1609) Chongqing Chongqing
China Southern Medical University Nanfang Hospital-Department of Hematopathology ( Site 1607) Guangzhou Guangdong
China Sun Yat-sen University Cancer Center ( Site 1608) Guangzhou Guangdong
China The Affiliated Hospital of Guizhou Medical University ( Site 1625) Guiyang Guizhou
China Hainan General Hospital ( Site 1603) Haikou Hainan
China The First Affiliated Hospital, Zhejiang University-Hematology ( Site 1611) Hangzhou Zhejiang
China Jiangxi Provincial Cancer Hospital ( Site 1628) Nanchang Jiangxi
China The First Affiliated Hospital of Nanchang University ( Site 1614) Nanchang Jiangxi
China Fudan University Shanghai Cancer Center ( Site 1606) Shanghai Shanghai
China The First Affiliated Hospital of Soochow University-hematology department ( Site 1612) Suzhou Jiangsu
China Shanxi Cancer Hospital ( Site 1629) Taiyuan Shanxi
China Institute of hematology&blood disease hospital ( Site 1600) Tianjin Tianjin
China Tianjin Medical University Cancer Institute & Hospital-lymphoma ( Site 1604) Tianjin Tianjin
China Tongji Hospital Tongji Medical,Science & Technology ( Site 1619) Wuhan Hubei
China Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 1618) Wuhan Hubei
China Shaanxi provincial people's hospital ( Site 1626) Xi'an Shaanxi
China The First Affiliated Hospital of Xi'an Jiaotong University ( Site 1617) Xi'an Shaanxi
China Henan Cancer Hospital-hematology department ( Site 1613) Zhengzhou Henan
Colombia Clini Salud ( Site 1700) Envigado Antioquia
Colombia Fundacion Colombiana de Cancerología Clinica Vida ( Site 1707) Medellin Antioquia
Colombia Oncologos del Occidente ( Site 1706) Pereira Risaralda
Colombia Sociedad De Oncologia Y Hematologia Del Cesar-Oncology ( Site 1704) Valledupar Cesar
Denmark Aalborg Universitetshospital, Syd ( Site 1901) Aalborg Nordjylland
Denmark Aarhus Universitetshospital, Skejby-Blodsygdomme ( Site 1902) Aarhus Midtjylland
Denmark Odense Universitetshospital ( Site 1900) Odense Syddanmark
Denmark Vejle Sygehus ( Site 1903) Vejle Syddanmark
Guatemala CELAN,S.A ( Site 2403) Guatemala
Guatemala MEDI-K CAYALA ( Site 2401) Guatemala
Guatemala Oncomedica-Guatemala ( Site 2402) Guatemala
Hong Kong Queen Mary Hospital ( Site 2500) Hksar
Hungary Heves Vármegyei Markhot Ferenc Oktatókórház és Rendelointézet ( Site 2608) Eger Heves
Hungary Szabolcs-Szatmár-Bereg Megyei Kórházak és Egyetemi Oktatókór-Haematológia osztály ( Site 2602) Nyiregyhaza Szabolcs-Szatmar-Bereg
Hungary Fejér Megyei Szent György Egyetemi Oktató Kórház ( Site 2609) Székesfehérvár Fejer
Malaysia Hospital Ampang ( Site 3202) Ampang Selangor
Malaysia Hospital Sultanah Aminah ( Site 3203) Johor Bahru Johor
Mexico Centro de Infusion Superare ( Site 3314) Ciudad de México Distrito Federal
Mexico Health Pharma Professional Research S.A. de C.V: ( Site 3301) Ciudad de México Distrito Federal
Mexico Centro de Investigacion Clinica Chapultepec ( Site 3309) Morelia Michoacan
Poland Uniwersyteckie Centrum Kliniczne-Klinika Hematologii i Transplantologii ( Site 3702) Gdansk Pomorskie
Poland Pratia Onkologia Katowice ( Site 3705) Katowice Slaskie
Poland Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zakl-Klinika Hematologii i Transplantacji S Kielce Swietokrzyskie
Poland Samodzielny Publiczny Szpital Kliniczny nr 1-Department of Haematooncology and Bone Marrow Transpla Lublin Lubelskie
Poland Samodzielny Publiczny Zaklad Opieki Zdrowotnej MSWiA z Warmi-Oddzial Kliniczny Hematologii ( Site 37 Olsztyn Warminsko-mazurskie
Poland Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Ukladu Chlonnego ( S Warszawa Mazowieckie
Romania Spitalul Clinic Col?ea ( Site 4000) Bucure?ti Bucuresti
Romania Spitalul Clinic Col?ea ( Site 4001) Bucure?ti Bucuresti
Romania Institutul Oncologic Cluj ( Site 4002) Cluj
Singapore National Cancer Centre Singapore ( Site 4200) Singapore Central Singapore
Singapore Tan Tock Seng Hospital ( Site 4202) Singapore Central Singapore
South Africa Groote Schuur Hospital-Clinical Haematology ( Site 4400) Cape Town Western Cape
South Africa Netcare Pretoria East Hospital-Albert Alberts Stem Cell Transplant Centre ( Site 4401) Centurion Gauteng
South Africa Wits Clinical Research ( Site 4403) Johannesburg Gauteng
South Africa Haemalife ( Site 4407) Kuilsriver Western Cape
South Africa Constantiaberg Haematology ( Site 4408) Plumstead Western Cape
Taiwan Chang Gung Memorial Hospital at Kaohsiung-Division of Hematology and Oncology ( Site 4700) Kaohsiung
Taiwan National Cheng Kung University Hospital ( Site 4701) Tainan
Taiwan National Taiwan University Hospital ( Site 4704) Taipei
Turkey Ankara Universitesi Tip Fakultesi Hastanesi-hematology ( Site 4913) Ankara
Turkey TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi ( Site 4906) Istanbul
Turkey Ege Universitesi Hastanesi ( Site 4902) Izmir
Turkey Mega Medipol-Hematology ( Site 4904) Stanbul Istanbul
Turkey Namik Kemal University Medical Faculty-Hematology ( Site 4912) Suleymanpasa Tekirdas
Ukraine MNPE ClinCenter of Oncology,Hematology,Transplantology and Palliative Care of CherkasyRegCouncil ( S Cherkassy Cherkaska Oblast
Ukraine Communal non-profit enterprise "Regional clinical hospital o-Hematology Department ( Site 5113) Ivano-Frankivsk Ivano-Frankivska Oblast
Ukraine National Research Center for Radiation Medicine of National Academy of Medical Sciences of Ukraine ( Kyiv
Ukraine Nonprofit Organization National Cancer Institute ( Site 5103) Kyiv Kyivska Oblast
Ukraine Public Non-Profit Enterprise Kyiv City Clinical Hospital #9 -Hematology department #1 ( Site 5111) Kyiv
Ukraine Institute of Blood Pathology and Transfusion Medicine of National A?ademy of Medical Sciences of Ukr Lviv Lvivska Oblast
United States Clermont Oncology Center ( Site 5224) Clermont Florida
United States Hattiesburg Clinic Hematology/Oncology ( Site 5216) Hattiesburg Mississippi
United States Medical Oncology Associates, PS ( Site 5206) Spokane Washington
United States Highlands Oncology Group ( Site 5205) Springdale Arkansas

Sponsors (1)

Lead Sponsor Collaborator
Merck Sharp & Dohme LLC

Countries where clinical trial is conducted

United States,  Australia,  Brazil,  Chile,  China,  Colombia,  Denmark,  Guatemala,  Hong Kong,  Hungary,  Malaysia,  Mexico,  Poland,  Romania,  Singapore,  South Africa,  Taiwan,  Turkey,  Ukraine, 

Outcome

Type Measure Description Time frame Safety issue
Primary Progression-Free Survival (PFS) per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) Criteria 2018 as Assessed by Blinded Independent Central Review (BICR) PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. PD is evaluated per International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria 2018 as assessed by blinded independent central review (BICR). Up to approximately 49 months
Secondary Overall Survival (OS) OS is defined as the time from randomization to death due to any cause. Up to approximately 94 months
Secondary Objective Response Rate (ORR) per iwCLL Criteria 2018 as Assessed by BICR ORR is defined as the percentage of participants with complete response (CR), complete response with an incomplete recovery of the participant's bone marrow (CRi), nodular partial response (nPR), or Partial response (PR), per iwCLL criteria 2018 as assessed by BICR. Up to approximately 36 months
Secondary Duration of Response (DOR) per iwCLL Criteria 2018 as Assessed by BICR For participants who demonstrate a CR, CRi, nPR, or PR per iwCLL criteria as assessed by BICR, DOR is 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. Up to approximately 94 months
Secondary Number of Participants Who Experience an Adverse Event (AE) An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 94 months
Secondary Number of Participants Who Discontinue Study Treatment Due to an AE An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 94 months
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