The main purpose of the study is to evaluate if adding venetoclax to participants receiving cBTKi for the 1L CLL can achieve deep durable remissions of undetectable measurable residual disease \[uMRD \< or 10\^-4 in peripheral blood (PB)\] by end of combination treatment (EOCT) to allow off-treatment period. The acronym BRAVE stands for Btki Responders to Achieve deep remission (or off-treatment periods) with VEnetoclax.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
118
Venetoclax tablets will be administered as per the schedule specified in the arm.
Commercially available cBTKi (ibrutinib or acalabrutinib, or zanubrutinib) will be administered in accordance with its prescribing label.
Highlands Oncology Group
Springdale, Arkansas, United States
Rocky Mountain Cancer Centers (Aurora) - USOR
Aurora, Colorado, United States
Cancer Specialists of North Florida
Jacksonville, Florida, United States
Fort Wayne Medical Oncology and Hematology, Inc
Fort Wayne, Indiana, United States
Mission Blood and Cancer - MercyOne Cancer Center
Des Moines, Iowa, United States
American Oncology Partners of Maryland, PA
Bethesda, Maryland, United States
Dana-Farber Cancer Institute - Hematologic Oncology Treatment Center
Boston, Massachusetts, United States
Nebraska Cancer Specialists St Francis - Grand Island
Grand Island, Nebraska, United States
Nebraska Cancer Specialists
Omaha, Nebraska, United States
Astera Cancer Care East Brunswick
East Brunswick, New Jersey, United States
...and 10 more locations
uMRD4 Rate at EOCT
uMRD4 will be assessed using next generation sequencing (NGS) (sensitivity 10\^-4) from PB.
Time frame: Cycle 12 Day 28 (Cycle length= 28 Days)
CR/CRi Rate at EOCT as Determined by the Investigator According to International Workshop on Chronic Lymphocytic Leukemia (iwCLL) Guidelines
Complete response (CR)/complete response with incomplete recovery of the bone marrow (CRi) rate is defined as the percentage of participants with a CR or CRi at EOCT, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 12 months
PR Rate at EOCT as Determined by the Investigator According to iwCLL Guidelines
PR rate is defined as the percentage of participants with a PR at EOCT, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 12 months
Overall Response Rate (ORR) at EOCT as Determined by the Investigator According to iwCLL Guidelines
ORR is defined as the percentage of participants with a CR/CRi or PR at EOCT, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 12 months
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
AE and SAEs will be collected as part of this study at baseline and every clinical visit, until 30 days after the final dose of study treatment.
Time frame: Up to approximately 13 months
Number of Participants Who Withdrew Prematurely from the Study
Participants who discontinued treatment before Cycle 12 Day 28 (cycle length= 28 days).
Time frame: Up to approximately 12 months
Overall Survival (OS)
OS is defined as the time from the first study treatment to death from any cause.
Time frame: Up to approximately 48 months
Progression-free Survival (PFS) as Determined by the Investigator According to iwCLL Guidelines
PFS is defined as the time from the first study treatment to the first occurrence of disease progression (PD) or death from any cause during study, whichever occurs first, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 48 months
Event-free Survival (EFS) as Determined by the Investigator According to iwCLL Guidelines
EFS is defined as the time from the first study treatment to the first occurrence of PD, anti-leukemic treatment subsequent to the study treatment, or death from any cause during study, whichever occurs first, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 48 months
Duration of Response (DOR) in Participants With CR/CRi or PR as Determined by the Investigator According to iwCLL Guidelines
DOR is defined as the time from the first occurrence of a documented objective response (i.e., CR/CRi or PR) to PD or death from any cause, whichever occurs first, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 12 months
DOR in Participants With CR or CRi as Determined by the Investigator According to iwCLL Guidelines
DOR is defined as the time from the first occurrence of a documented objective response (i.e., CR or CRi ) to PD or death from any cause, whichever occurs first, as determined by the investigator according to the iwCLL.
Time frame: Up to approximately 12 months
Time to Next CLL Treatment (TTNT)
TTNT is defined as the time from the first study treatment to the start of anti-leukemic treatment subsequent to the study treatment or death, whichever occurs first.
Time frame: Up to approximately 12 months
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