Leukemia, Lymphocytic, Chronic, B-Cell Clinical Trial
Official title:
Phase II, Multicenter, Trial, Exploring "Chemo-free" Treatment (GA101+Ibrutinib) and MRD-driven Strategy in Previously Untreated Symptomatic B-chronic Lymphocytic Leukemia Medically Fit A Study From the Goelams/GCFLLC/MW Intergroup
Phase II study testing chemo-free induction therapy with Ibrutinib + Obinutuzumab nine months
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Study Part 1:
All patients will receive 8 courses of GA101 + ibrutinib 420mg PO every 28 days
Study Part 2:
After evaluation at D1 of month 9:
If patients are in CR with BM MRD < 10-4, they will continue ibrutinib alone at a dose of
420mg daily If patients have BM MRD >10-4 whatever IWCLL 2008 responses or PR they will
receive four courses of GA101 + FC at 28-day intervals + Ibrutinib PO until final evaluation
of M16
Phase II study testing chemo-free induction therapy with Ibrutinib + Obinutuzumab during nine
months followed by a MRD-driven strategy. Assessment of response as well as bone marrow MRD
evaluation will be performed at Day 1 month 9:
1. Patients reaching CR with marrow MRD below 10-4 threshold will continue ibrutinib during
6 additional months.
2. Patients in PR or bone marrow MRD > 10-4 will receive Ibrutinib during 6 additional
months and 4 courses of FC+ GA101. At Day 1 Month 16, patients in CR but with MRD> 10-4
will continue Ibrutinib until progressive disease.
3. Patients in stable or progressive disease will be excluded out of the trial.
Final evaluation of response (with BM MRD) will be performed at Day 1 Month 16.
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