New cocktail aims to tackle tough leukemia

NCT ID NCT03204188

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This phase II study tested a combination of three drugs—ibrutinib, fludarabine, and pembrolizumab—in 15 people with high-risk or relapsed/refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL). The goal was to see if the combo could produce a complete response, meaning no signs of cancer. Participants took ibrutinib daily, a short course of fludarabine, and pembrolizumab every three weeks for a year. The study is now complete, and results will show how well this approach works for this hard-to-treat group.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Ibrutinib, fludarabine, and pembrolizumab
What this could lead to
If successful, this combination could offer a more effective treatment option for people with hard-to-treat CLL/SLL, potentially leading to longer remission and a healthier immune system.
What could go wrong
This is a small, early-phase study with only 15 participants, so results may not apply to everyone. The drugs can cause serious side effects, and the combination may not work better than existing treatments.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892, United States

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