Acalabrutinib and Venetoclax Treatment of Newly Diagnosed Patients With CLL at High Risk of Infection or Early Treatment

CLL Clinical Trial

Official title:

Short-term Combined Acalabrutinib and Venetoclax Treatment of Newly Diagnosed Patients With CLL at High Risk of Infection and/or Early Treatment, Who do Not Fulfil IWCLL Treatment Criteria.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03868722
• Other study ID #: PreVent-ACaLL
• Status: Recruiting
• Phase: Phase 2/Phase 3
• Start date: October 11, 2019
• Est. completion date: July 31, 2030

Study information

• Verified date: December 2023
• Source: Rigshospitalet, Denmark
• Contact: Carsten U Niemann, MD, PhD
• Phone: +45 35457830
• Email: carsten.utoft.niemann[@]regionh.dk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Many patients with CLL have a weakened immune system due to their disease. It increases their risk of developing serious, treatment-requiring infections such as blood poisoning or pneumonia, which in the worst case may end with fatal outcomes. Serious infections due to CLL are responsible for one third of all deaths among CLL patients. PreVent-ACaLL study will investigate whether a combination of two known types of cancer drugs can reduce the risk of infection and thus mortality when given preventively to newly diagnosed CLL patients. A newly developed register-based computer model can predict which patients are at high risk in order to develop infections as a result of their CLL. A preventive treatment might be initiated before patients need chemotherapy. In this way, the cancer disease might be "reset" so that the immune system, which is inhibited by CLL, is restored and the risk of fatal infections is minimized.

Description:

OBJECTIVE AND HYPOTHESIS Phase 2, randomized study of short-term, combined venetoclax and acalabrutinib treatment of newly diagnosed patients with CLL. For patients identified by CLL-TIM (the Machine Learning predictive algorithm, Treatment Infection Model) at high risk of infection and/or early CLL treatment, it is tested whether grade 3-Infection-free, treatment-free survival can be improved by three months of venetoclax+acalabrutinib treatment. Changes in immune dysfunction are measured by an extensive translational program for correlation with changes in infection. BACKGROUND Infection and immune dysfunction in patients diagnosed with CLL leads to significant morbidity and mortality, as exemplified by the constant rate of infectious deaths in CLL over the last three decades, despite significant improvement in all other causes of death. This also affects patients who do not need treatment according to IWCLL criteria, thus infections are the leading cause of death among patients with CLL. Based on a novel machine learning algorithm, CLL-TIM, patients at high risk (>65% 2-years risk) of severe infection and/or CLL treatment can be identified at diagnosis. By a short period of preemptive treatment for these patients, the aim is to change the natural history of CLL and immune dysfunction. METHODS The study is an intergroup study between the HOVON (Belgium, the Netherlands) and the Nordic (Denmark, Norway, Sweden, Finland) CLL study groups. For the phase 2 study, 4-8 sites with the capacity of the extensive translational immune phenotyping and/or timely shipment of samples will be selected. Patients are randomized between venetoclax+acalabrutinib treatment for three months or observation. For each treatment arm, 25 patients are needed (50 in total). Thorough assessment of immune function before, during and after treatment as well as detailed reporting on infectious complications, the proof of concept of the PreVent-ACaLL study's capacity to change the natural history of immune dysfunction in CLL by short-term venetoclax-acalabrutinib treatment will be made. PERSPECTIVES By addressing the unmet need of improving immune function for newly diagnosed CLL patients with high risk of infections and/or early CLL treatment, the aim is to change the paradigm for CLL treatment and the natural history of the disease. If the phase 2 trial demonstrates a clear signal for safety with indication of benefit for patients in the treatment arm, an extension phase 3 study is planned with the potential to change the future management of CLL.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 212
• Est. completion date: July 31, 2030
• Est. primary completion date: July 31, 2029
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. CLL diagnosed according to IWCLL criteria within one year prior to randomization

2. High risk of infection and/or progressive treatment within 2 years according to CLL-TIM

3. IWCLL treatment indication not fulfilled

4. Life expectancy > 2 years

5. Age at least 18 years

6. Ability and willingness to provide written informed consent and adhere to study procedures and treatment

7. Adequate bone marrow function as indicated by platelets above 100 x 10E9, hemoglobin above 10 g/dL and neutrophils above 1 x 10E9

8. Creatinine clearance above 30 mL/min directly measured with 24hr urine collection or calculated according to the modified formula of Cockcroft and Gault

9. Adequate liver function as indicated by a total bilirubin= 2 x, AST/ALT = 2.5 x the institutional ULN value, unless directly attributable to the patient's CLL or to Gilbert's Syndrome.

10. Negative serological testing for hepatitis B (HBsAg negative and anti-HBc negative; patients positive for anti-HBc may be included if PCR for HBV DNA is negative and HBV-DNA PCR is performed every month until 12 months after last treatment cycle), negative testing for hepatitis C RNA within 6 weeks prior to registration.

11. Eastern Cooperative Oncology Group Performance Status (ECOG) performance status 0-2.

12. Woman of childbearing potential (WOCBP) who are sexually active must use highly effective methods of contraception during treatment and for 2 days after the last dose of investigational drugs.

13. Willing and able to participate in all required evaluations and procedures in this study protocol including swallowing capsules without difficulty.

14. Ability to understand the purpose and risks of the study and provide signed and dated informed consent and authorization to use protected health information

Exclusion Criteria:

1. Prior CLL treatment (including monoclonal antibodies, chemotherapy, small molecules)

2. Transformation of CLL (Richter's transformation)

3. Previous autoimmune disease as AIHA (autoimmune hemolytic anemia) or ITP (idiopathic thrombocytopenic purpura) treated with immune suppression or uncontrolled AIHA or ITP

4. History of PML

5. Uncontrolled or active infection

6. Malignancies other than CLL requiring systemic therapies (except anti-hormonal therapies) or considered to impact survival

7. Requirement of therapy with strong CYP3A4 and CYP3A5 inhibitors/inducers or anticoagulant therapy with vitamin K antagonists

8. History of bleeding disorders or current platelet inhibitors or anticoagulant therapy

9. History of clinically significant cardiovascular disease such as arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening, or any Class 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification, or corrected QT interval (QTc) > 480 msec at screening.

10. History of stroke or intracranial hemorrhage within 6 months prior to registration.

11. Use of investigational agents which might interfere with the study drug within 28 days prior to registration.

12. Vaccination with live vaccines 28 days prior to registration.

13. Major surgery less than 30 days before start of treatment.

14. Known hypersensitivity to any active substance or to any of the excipients of one of the drugs used in the trial.

15. Pregnant women and nursing mothers (a negative pregnancy test is required for all women of childbearing potential within 7 days before start of treatment; further pregnancy testing will be performed regularly).

16. Fertile men or women of childbearing potential unless: surgically sterile or = 2 years after the onset of menopause or willing to use two methods of reliable contraception including one highly effective contraceptive method (Pearl Index <1) and one additional effective (barrier) method during study treatment and for 18 months after the end of study treatment.

17. Legal incapacity.

18. Persons who are in dependence to the sponsor or an investigator

19. Persons not considered fit for the trial by the investigator

20. Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel that is likely to affect absorption, symptomatic inflammatory bowel disease, partial or complete bowel obstruction, or gastric restrictions and bariatric surgery, such as gastric bypass.

21. Presence of a gastrointestinal ulcer diagnosed by endoscopy within 3 months before screening.

22. Requires treatment with a strong cytochrome P450 3A4 (CYP3A4) inhibitor/inducer.

23. Prothrombin time/INR or aPTT (in the absence of Lupus anticoagulant) > 2x ULN.

24. Requires treatment with proton pump inhibitors (eg, omeprazole, esomeprazole, lansoprazole, dexlansoprazole, rabeprazole, or pantoprazole). Subjects receiving proton pump inhibitors who switch to H2-receptor antagonists or antacids are eligible for enrollment to this study.

25. Major surgical procedure within 7 days of first dose of study drug. Note: If a subject had major surgery, they must have recovered adequately from any toxicity and/or complications from the intervention before the first dose of study drug.

26. Breastfeeding or pregnant.

Related Conditions & MeSH terms

• CLL
• Infections

Intervention

Drug:
• Acalabrutinib
Acalabrutinib 100 mg BID from cycle 1 day 1 for 3 cycles of 28 days.
• Venetoclax
Venetoclax, ramp up during the first five weeks starting cycle 1 day 1, 7 days treatment on each dose level (20-50-100-200-400 mg), thereafter 400 mg once daily for a total of 3 cycles of 28 days.

Locations

Country	Name	City	State
Denmark	Rigshospitalet	Copenhagen
Denmark	Herlev og Gentofte Hospital	Herlev
Denmark	Sjællands Universitetshospital Roskilde	Roskilde
Netherlands	Albert Schweitzer Hospital	Dordrecht
Netherlands	Ikazia Hospital (Ikazia Ziekenhuis)	Rotterdam
Sweden	Örebro University Hospital	Örebro
Sweden	Karolinska University Hospital	Stockholm

Sponsors (4)

Lead Sponsor	Collaborator
Rigshospitalet, Denmark	Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA), Karolinska Institutet, Stichting Hemato-Oncologie voor Volwassenen Nederland

Countries where clinical trial is conducted

Denmark,  Netherlands,  Sweden, 

References & Publications (8)

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de Rooij MF, Kuil A, Geest CR, Eldering E, Chang BY, Buggy JJ, Pals ST, Spaargaren M. The clinically active BTK inhibitor PCI-32765 targets B-cell receptor- and chemokine-controlled adhesion and migration in chronic lymphocytic leukemia. Blood. 2012 Mar 15;119(11):2590-4. doi: 10.1182/blood-2011-11-390989. Epub 2012 Jan 25. — View Citation

Khan WN. Regulation of B lymphocyte development and activation by Bruton's tyrosine kinase. Immunol Res. 2001;23(2-3):147-56. doi: 10.1385/IR:23:2-3:147. — View Citation

Mohamed AJ, Yu L, Backesjo CM, Vargas L, Faryal R, Aints A, Christensson B, Berglof A, Vihinen M, Nore BF, Smith CI. Bruton's tyrosine kinase (Btk): function, regulation, and transformation with special emphasis on the PH domain. Immunol Rev. 2009 Mar;228(1):58-73. doi: 10.1111/j.1600-065X.2008.00741.x. — View Citation

Ponader S, Chen SS, Buggy JJ, Balakrishnan K, Gandhi V, Wierda WG, Keating MJ, O'Brien S, Chiorazzi N, Burger JA. The Bruton tyrosine kinase inhibitor PCI-32765 thwarts chronic lymphocytic leukemia cell survival and tissue homing in vitro and in vivo. Blood. 2012 Feb 2;119(5):1182-9. doi: 10.1182/blood-2011-10-386417. Epub 2011 Dec 16. — View Citation

Smith TJ, Khatcheressian J, Lyman GH, Ozer H, Armitage JO, Balducci L, Bennett CL, Cantor SB, Crawford J, Cross SJ, Demetri G, Desch CE, Pizzo PA, Schiffer CA, Schwartzberg L, Somerfield MR, Somlo G, Wade JC, Wade JL, Winn RJ, Wozniak AJ, Wolff AC. 2006 update of recommendations for the use of white blood cell growth factors: an evidence-based clinical practice guideline. J Clin Oncol. 2006 Jul 1;24(19):3187-205. doi: 10.1200/JCO.2006.06.4451. Epub 2006 May 8. — View Citation

Soucek L, Buggy JJ, Kortlever R, Adimoolam S, Monclus HA, Allende MT, Swigart LB, Evan GI. Modeling pharmacological inhibition of mast cell degranulation as a therapy for insulinoma. Neoplasia. 2011 Nov;13(11):1093-100. doi: 10.1593/neo.11980. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Grade 3-Infection-free survival	Grade 3-Infection-free survival in the treatment arm compared to the observation arm	12 weeks after finishing treatment
Primary	Event-free survival	Event-free survival, event being either grade =3 infection or CLL treatment	2 years after enrollment
Secondary	Event-free survival	Event-free survival, event being either grade =3 infection or CLL treatment	12 weeks after treatment initiation,1 year and 2 years after enrollment
Secondary	Overall survival	Overall survival	Assessed at 12 weeks, 1 year and 2 years from treatment/observation initiation
Secondary	Treatment free survival	Treatment free survival	Assessed at 12 weeks, 1 year and 2 years from treatment/observation initiation
Secondary	Rate of infections	Rate of infections	assessed at 12 weeks, 1 year and 2 years from treatment/observation initiation
Secondary	Rate of infections grade =3	Rate of infections	assessed at 12 weeks, 1 year and 2 years from treatment/observation initiation