New CLL trial aims to reduce Life-Threatening side effect of cancer drugs
NCT ID NCT06428019
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This phase 3 trial tests different ways to start venetoclax combined with obinutuzumab or acalabrutinib in 170 adults with untreated chronic lymphocytic leukemia (CLL). The goal is to find the safest ramp-up schedule to prevent tumor lysis syndrome, a dangerous side effect. Participants receive one of four dosing plans and are monitored for about 28 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- venetoclax, obinutuzumab, acalabrutinib
- What this could lead to
- If successful, this could lead to safer, more effective starting regimens for CLL treatment, reducing dangerous side effects like tumor lysis syndrome.
- What could go wrong
- This is an early-phase study with only 170 participants, so results may not apply to all CLL patients. The combinations may still cause serious side effects or not improve outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 170 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of documented, previously untreated, chronic lymphocytic leukemia (CLL) requiring treatment according to the 2018 international workshop on chronic lymphocytic leukemia (iwCLL) criteria and have a life expectancy of \> 6 months. * Previously untreated small lymphocytic lymphoma (SLL) meeting the 2018 iwCLL criteria for treatment will also be equally considered as CLL for eligibility, screening, treatment and evaluation. * Eastern Cooperative Oncology Group (ECOG) performance status \<= 2. * Adequate marrow function independent of growth factor or transfusion support within 2 weeks of screening, unless cytopenia is due to marrow involvement of CLL as listed in the protocol. * Creatinine clearance (CrCl) \>= 30 mL/min using the Cockcroft-Gault formula are eligible for inclusion. Exclusion Criteria: \- Active/uncontrolled infection, no Richter's transformation, no active immune thrombocytopenia.
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Get notified about this study
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
69 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Arizona Oncology - Tucson - Rudasill /ID# 267552
RECRUITINGTucson, Arizona, 85704, United States
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Atrium Health /ID# 267219
RECRUITINGCharlotte, North Carolina, 28204-2963, United States
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Atrium Health Wake Forest Baptist Medical Center /ID# 273142
RECRUITINGWinston-Salem, North Carolina, 27157, United States
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CHU Amiens-Picardie Site Sud /ID# 266849
RECRUITINGAmiens, Somme, 80054, France
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CLINICA UNIVERSIDAD DE NAVARRA-Madrid /ID# 266969
RECRUITINGMadrid, 28027, Spain
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Calvary Mater Newcastle /ID# 267408
RECRUITINGWaratah, New South Wales, 2298, Australia
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Cancer Specialists of North Florida - Jacksonville - AC Skinner Parkway /ID# 266713
RECRUITINGJacksonville, Florida, 32256, United States
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Center for Cancer and Blood Disorders-American Oncology Partners of Maryland /ID# 266445
RECRUITINGBethesda, Maryland, 20817, United States
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Centre Antoine-Lacassagne /ID# 266894
RECRUITINGNice, Provence-Alpes-Côte d'Azur Region, 06189, France
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Centre Hospitalier Métropole Savoie - Site Hôpital de Chambéry /ID# 266854
RECRUITINGChambéry, Savoie, 73007, France
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Centre Hospitalier Régional Metz Thionville - Hôpital de Mercy /ID# 266852
RECRUITINGMetz, Moselle, 57085, France
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Centre Hospitalier Régional d'Orléans - Hôpital de la Source /ID# 266272
RECRUITINGOrléans, 45067, France
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Centre Hospitalier Universitaire de Saint Etienne - Hopital Nord /ID# 266319
RECRUITINGSt-Priest-en-Jarez, Pays de la Loire Region, 42270, France
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Centre Hospitalier d Argenteuil Victor Dupouy /ID# 266322
RECRUITINGArgenteuil, Île-de-France Region, 95107, France
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Centre Hospitalier de la Côte Basque /ID# 266847
RECRUITINGBayonne, Pyrenees-Atlantiques, 64109, France
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China Medical University Hospital /ID# 267018
RECRUITINGTaichung, 40447, Taiwan
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Cleveland Clinic Main Campus /ID# 271292
RECRUITINGCleveland, Ohio, 44195, United States
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Clinica Universidad de Navarra - Pamplona /ID# 267762
RECRUITINGPamplona, Navarre, 31008, Spain
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Clinical Hospital Center - Bežanijska Kosa /ID# 266567
RECRUITINGBelgrade, Beograd, 11080, Serbia
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Clinical Hospital Center Zvezdara /ID# 266560
RECRUITINGBelgrade, Beograd, 11000, Serbia
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Complejo Hospitalario Universitario de Santiago (CHUS) /ID# 267164
RECRUITINGSantiago de Compostela, A Coruna, 15706, Spain
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Comprehensive Hematology Oncology /ID# 267644
RECRUITINGSt. Petersburg, Florida, 33709, United States
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Evangelismos Hospital /ID# 266815
RECRUITINGAthens, Attica, 10676, Greece
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General Hospital of Athens Laiko /ID# 266813
RECRUITINGAthens, Attica, 11527, Greece
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Henry Ford Hospital /ID# 270973
RECRUITINGDetroit, Michigan, 48202, United States
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Hopitaux Universitaires Henri Mondor - Hopital Henri Mondor /ID# 266270
RECRUITINGCréteil, Paris, 94010, France
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Hopitaux Universitaires Paris Centre-Hopital Cochin /ID# 267438
RECRUITINGParis, Paris, 75679, France
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Hospital MD Anderson Cancer Center Madrid /ID# 267167
RECRUITINGMadrid, 28033, Spain
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Hospital Universitario Puerta de Hierro - Majadahonda /ID# 266967
RECRUITINGMajadahonda, Madrid, 28222, Spain
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Hospital Universitario Virgen del Rocio /ID# 266968
RECRUITINGSeville, 41013, Spain
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Icahn School of Medicine at Mount Sinai /ID# 266328
RECRUITINGNew York, New York, 10029, United States
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Institute for Oncology of Vojvodina /ID# 266556
RECRUITINGKamenitz, Vojvodina, 21208, Serbia
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Kaohsiung Chang Gung Memorial Hospital /ID# 267046
RECRUITINGKaohsiung City, Kaohsiung, 833, Taiwan
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Lifespan Cancer Institute - Providence /ID# 266550
RECRUITINGProvidence, Rhode Island, 02903, United States
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Linkou Chang Gung Memorial Hospital /ID# 267045
RECRUITINGTaoyuan City, 333, Taiwan
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Malcolm Randall V.A. Medical Center /ID# 267825
RECRUITINGGainesville, Florida, 32608, United States
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Maryland Oncology Hematology - Silver Spring /ID# 267557
RECRUITINGSilver Spring, Maryland, 20904, United States
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Mid Florida Hematology And Oncology Center /ID# 269159
RECRUITINGOrange City, Florida, 32763, United States
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National Taiwan University Hospital /ID# 267017
RECRUITINGTaipei, 100, Taiwan
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Northwest Cancer Center - Dyer Clinic /ID# 268478
RECRUITINGDyer, Indiana, 46311, United States
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Northwest Medical Specialties Tacoma /ID# 266327
RECRUITINGTacoma, Washington, 98405, United States
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Nottingham City Hospital /ID# 266991
RECRUITINGNottingham, Nottinghamshire, NG5 1PB, United Kingdom
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Oklahoma Cancer Specialists and Research Institute /ID# 267643
RECRUITINGTulsa, Oklahoma, 74146, United States
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Olympion General Clinic /ID# 266819
RECRUITINGPátrai, Achaia, 26443, Greece
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Pan American Center for Oncology Trials /ID# 266243
RECRUITINGRio Piedras, 00935, Puerto Rico
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Rocky Mountain Cancer Centers - Aurora /ID# 267549
RECRUITINGAurora, Colorado, 80012, United States
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Royal Perth Hospital /ID# 266906
RECRUITINGPerth, Western Australia, 6000, Australia
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Saint Lukes Hospital of Kansas City /ID# 267270
RECRUITINGKansas City, Missouri, 64111, United States
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Southern VA Health Care System /ID# 266254
RECRUITINGTucson, Arizona, 85723, United States
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Springfield Clinic - First /ID# 270145
RECRUITINGSpringfield, Illinois, 62702, United States
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St Vincent's Hospital - Melbourne /ID# 270027
RECRUITINGFitzroy, Victoria, 3065, Australia
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Texas Oncology - Austin Midtown /ID# 268152
RECRUITINGAustin, Texas, 78705, United States
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Townsville University Hospital /ID# 266954
RECRUITINGTownsville, Queensland, 4814, Australia
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UCSF FRESNO/Community Cancer Institute /ID# 270874
RECRUITINGClovis, California, 93611, United States
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UMass Memorial Medical Center /ID# 270023
RECRUITINGWorcester, Massachusetts, 01655, United States
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University Clinical Center Kragujevac /ID# 266568
RECRUITINGKragujevac, Sumadijski Okrug, 34000, Serbia
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University Clinical Center Nis /ID# 266580
RECRUITINGNiš, Nisavski Okrug, 18300, Serbia
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University Clinical Center Serbia /ID# 266579
RECRUITINGBelgrade, Beograd, 11000, Serbia
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University Clinical Center Vojvodina /ID# 266674
RECRUITINGNovi Sad, 21000, Serbia
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University General Hospital Attikon /ID# 266814
RECRUITINGAthens, Attica, 12462, Greece
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University General Hospital of Alexandroupoli /ID# 266816
RECRUITINGAlexandroupoli, Evros, 68100, Greece
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University of Iowa Health Care /ID# 267206
RECRUITINGDes Moines, Iowa, 50314-3017, United States
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University of Texas - Southwestern Medical Center /ID# 266528
RECRUITINGDallas, Texas, 75235, United States
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Valkyrie Clinical Trials /ID# 268151
RECRUITINGLos Angeles, California, 90067, United States
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Virginia Cancer Specialists - Fairfax /ID# 268155
RECRUITINGFairfax, Virginia, 22031, United States
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Vista Oncology - East Olympia /ID# 267337
RECRUITINGOlympia, Washington, 98506, United States
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West Virginia University School of Medicine /ID# 267645
RECRUITINGMorgantown, West Virginia, 26506, United States
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Willamette Valley Cancer Institute and Research Center /ID# 266326
RECRUITINGEugene, Oregon, 97401, United States
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Willis-Knighton Medical Center /ID# 270569
COMPLETEDShreveport, Louisiana, 71103, United States
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Yale University School of Medicine /ID# 266224
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two-Drug combo aims to push CLL into deep remission
- Can a new BTK inhibitor outsmart resistance in CLL?
- Can a new pill outsmart Drug-Resistant leukemia?
- Can engineered immune cells beat tough B-Cell cancers?
- Can a targeted drug outperform chemo for a common blood cancer?
- Can a triple drug combo outsmart High-Risk CLL?