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New drug cocktail shows promise for Tough-to-Treat leukemia

NCT ID NCT03204188

First seen Feb 01, 2026 · Last updated Jun 23, 2026 · Updated 19 times

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 how many patients achieved a complete response, meaning no signs of cancer. Ibrutinib was taken daily, fludarabine was given for five days, and pembrolizumab was infused every three weeks for up to a year. The study has been completed, and results are being analyzed.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892, United States

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 high-risk or hard-to-treat CLL/SLL, potentially leading to longer-lasting remission.

What could go wrong

This was a small, early-phase study with only 15 participants, so results may not apply to everyone. The combination also carries risks of side effects, and it is not a cure since some patients may need to continue ibrutinib long-term.

Conditions

The condition(s) this trial relates to.

B-cell chronic lymphocytic leukemia chromosome 17p deletion

As listed by the trial registrant

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