New drug combo shows promise for leukemia patients with other health problems
NCT ID NCT02242942
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tested a combination of obinutuzumab and venetoclax against obinutuzumab plus chlorambucil in 445 people with untreated chronic lymphocytic leukemia (CLL) who also had other medical conditions. The goal was to see which combo worked better at delaying disease progression. Treatment lasted about a year, with follow-up up to 9 years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- obinutuzumab and venetoclax
- What this could lead to
- If successful, this combination could offer a more effective, chemotherapy-free option for people with chronic lymphocytic leukemia who have other health issues.
- What could go wrong
- This is a Phase 3 trial, but results may not apply to all patients. The combination may cause side effects like infections or low blood counts, and long-term benefits are still being studied.
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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445 people
The number who actually took part.
- Started
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Dec 2014
- Finished
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Aug 2025
- 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: * Documented previously untreated CLL according to the International Workshop on Chronic Lymphocytic Leukemia (IWCLL) criteria * CLL requiring treatment according to IWCLL criteria * Total Cumulative Illness Rating Scale (CIRS score) greater than (\>) 6 * Adequate marrow function independent of growth factor or transfusion support within 2 weeks of screening as per protocol, unless cytopenia is due to marrow involvement of CLL * Adequate liver function * Life expectancy \> 6 months * Agreement to use highly effective contraceptive methods per protocol Exclusion Criteria: * Transformation of CLL to aggressive Non-Hodgkin's lymphoma (Richter's transformation or pro-lymphocytic leukemia) * Known central nervous system involvement * Participants with a history of confirmed progressive multifocal leukoencephalopathy (PML) * An individual organ/ system impairment score of 4 as assessed by the CIRS definition limiting the ability to receive the treatment regimen of this trial with the exception of eyes, ears, nose, throat organ system * Participants with uncontrolled autoimmune hemolytic anemia or immune thrombocytopenia * Inadequate renal function * History of prior malignancy, except for conditions as listed in the protocol if participants have recovered from the acute side effects incurred as a result of previous therapy * Use of investigational agents or concurrent anti-cancer treatment within the last 4 weeks of registration * Participants with active bacterial, viral, or fungal infection requiring systemic treatment within the last two months prior to registration * History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies or known sensitivity or allergy to murine products * Hypersensitivity to chlorambucil, obinutuzumab, or venetoclax or to any of the excipients * Pregnant women and nursing mothers * Positive test results for chronic hepatitis B virus (HBV) infection (defined as positive hepatitis B surface antigen \[HBsAg\] serology) or positive test result for hepatitis C (hepatitis C virus \[HCV\] antibody serology testing) * Participants with known infection with human immunodeficiency virus (HIV) or human T-cell leukemia virus-1 (HTLV-1) * Requires the use of warfarin, marcumar, or phenprocoumon * Received agents known to be strong and moderate Cytochrome P450 3A inhibitors or inducers within 7 days prior to the first dose of study drug
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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
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AOU Città della Salute e della Scienza di Torino - Presidio Le Molinette
Torino, Lazio, 10126, Italy
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Arcispedale S. Anna
Ferrara, Emilia-Romagna, 44100, Italy
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Arthur J.E. Child Comprehensive Cancer Center
Calgary, Alberta, T2N 4N2, Canada
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Ashford Cancer Centre Research
Ashford, South Australia, 5035, Australia
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Az. Osp. S. Maria
Terni, Umbria, 05100, Italy
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BAG Freiberg-Richter, Jacobasch, Illmer, Wolf
Dresden, 01307, Germany
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Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
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Birmingham Heartlands Hospital
Birmingham, B9 5SS, United Kingdom
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Boston Pilgrim Hospital
Boston,Lincolnshire, PE21 9QS, United Kingdom
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Box Hill Hospital
Box Hill, Victoria, 3128, Australia
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Brüderkrankenhaus St. Josef Paderborn
Paderborn, 33098, Germany
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CH de Toulon Hôpital Sainte Musse
Toulon, 83056, France
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CHU de Grenoble
Grenoble, 38043, France
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Canterbury Health Laboratories
Christchurch, 8011, New Zealand
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Centre Henri Becquerel
Rouen, 76038, France
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Centre Jean Bernard
Le Mans, 72000, France
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Centre Leon Berard
Lyon, 69373, France
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Charite - Campus Virchow-Klinikum
Berlin, 13353, Germany
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Charite - Universitätsmedizin Berlin
Berlin, 13353, Germany
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City of Hope
Duarte, California, 91010, United States
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Clinical MSCh No1
Perm, 614077, Russia
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Complejo Hospitalario de Navarra
Pamplona, Navarre, 31008, Spain
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Complejo Hospitalario de Toledo- H. Virgen de la Salud
Toledo, 45004, Spain
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Dunedin Hospital
Dunedin, New Zealand
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Fundeni Clinical Inst.
Bucharest, 022328, Romania
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Hanusch-Krankenhaus
Vienna, 1140, Austria
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Henry Ford Hospital
Detroit, Michigan, 48202-2689, United States
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Herlev Hospital
Herlev, 2730, Denmark
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Hopital Henri Mondor
Créteil, 94000, France
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Hopital Hotel Dieu Et Hme
Nantes, 44093, France
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Hopital Pontchaillou
Rennes, 35033, France
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Hopital Saint Louis
Paris, 75475, France
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Hospital Arnau de Vilanova (Valencia) Servicio de Hematologia
Valencia, 46015, Spain
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Hospital Clinico Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital Clinico Universitario de Valencia
Valencia, 46010, Spain
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Hospital Clínic i Provincial
Barcelona, 08036, Spain
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Hospital General de Culiacan
Culiacán, Sinaloa, 80230, Mexico
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Hospital Italiano
Buenos Aires, C1181ACH, Argentina
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Hospital Sírio-Libanês
São Paulo, São Paulo, 01308-050, Brazil
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Hospital Univ. 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
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Hospital Universitario Virgen del Rocio
Seville, 41013, Spain
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Hospital Universitario de Canarias
San Cristóbal de La Laguna, Tenerife, 38320, Spain
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Hospital Universitario de la Princesa
Madrid, 28006, Spain
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Hospital das Clinicas - FMUSP
São Paulo, São Paulo, 05403-000, Brazil
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Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
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Hospital del Mar
Barcelona, 08003, Spain
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Hôpital Saint Eloi
Montpellier, 34295, France
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Ingalls Memorial Hospital
Harvey, Illinois, 60426, United States
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Inselspital Bern
Bern, 3010, Switzerland
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Institut Gustave Roussy - Hematologie
Villejuif, 94805, France
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Institut d'Hématologie de Basse Normandie
Caen, 14000, France
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Instituto de Ensino e Pesquisa Sao Lucas - IEP
São Paulo, São Paulo, 01236-030, Brazil
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Institutul Regional de Oncologie Iasi
Iași, 700483, Romania
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Jewish General Hospital
Montreal, Quebec, H3T 1E2, Canada
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Joe Arrington Cancer Center
Lubbock, Texas, 79410, United States
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Klinik Esslingen
Esslingen am Neckar, 73730, Germany
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Kliniken Maria Hilf GmbH Innere Medizin I
Mönchengladbach, 41063, Germany
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Klinikum Frankfurt/Oder
Frankfurt (Oder), 15236, Germany
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Klinikum Schwäbisch Gmünd
Mutlangen, 73557, Germany
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Klinikum der Universität München, Campus Großhadern
München, 83177, Germany
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Klinikum rechts der Isar der Technischen Universität München
München, 81675, Germany
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Krankenhaus Barmherzige Bruder Regensburg
Regensburg, 93049, Germany
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Lincoln County Hospital
Lincoln, LN2 5QY, United Kingdom
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Liverpool Hospital
Liverpool BC, New South Wales, 1871, Australia
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Luzerner Kantonsspital, Hämatologie
Lucerne, 6000, Switzerland
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MHAT Hristo Botev
Vratsa, 3000, Bulgaria
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Marienhospital
Stuttgart, 70199, Germany
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Medizinische Universität Wien
Vienna, 1090, Austria
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Midcentral District Health Board
Palmerston North, 4442, New Zealand
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Moffitt Cancer Center
Tampa, Florida, 33612-9497, United States
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Monash Medical Centre
Melbourne, Victoria, 3168, Australia
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München Klinik Schwabing
München, 80804, Germany
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North Estonia medical Centre
Tallinn, 13419, Estonia
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Ospedale San Raffaele
Milan, Lombardy, 20132, Italy
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Ospedale dell' Angelo
Venezia Mestre, Veneto, 30174, Italy
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Penza Regional Oncology Dispensary
Penza, 440071, Russia
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Praxisklinik für Hämatologie und Onkologie Koblenz
Koblenz, 56068, Germany
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Princess Alexandra Hospital Woolloongabba
Woolloongabba, Queensland, 4102, Australia
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Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, B3H 2Y9, Canada
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Regional Clinical Hospital N.A. Semashko
Nizhny Novgorod, Niznij Novgorod, 603126, Russia
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Republican Clinical Oncologic Dispensary of Republic Of Tatarstan
Kazan', Tatarstan Republic, 420029, Russia
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Rigshospitalet
København Ø, 2100, Denmark
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Robert-Bosch-Krankenhaus
Stuttgart, 70376, Germany
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Royal Adelaide Hospital
Adelaide, South Australia, 5000, Australia
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SBEI of HPE ?Bashkir State Medical University? of MoH RF
Ufa, Bashkortostan Republic, 450000, Russia
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Samodzielny Public Zaklad
Chorzów, 41-500, Poland
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Samodzielny Publiczny Szpital Kliniczny Nr 1 we Wroc?awiu
Wroclaw, 5036, Poland
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Sjaellands Universitetshospital, Roskilde
Roskilde, 4000, Denmark
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Spitalul Clinic Judetean de Urgenta Targu-Mures
Târgu Mureş, 540136, Romania
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Stiftung Kathol. Krankenhaus Marienhospital Herne Klinik Mitte
Herne, 44625, Germany
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Sygehus Lillebælt, Vejle
Vejle, 7100, Denmark
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Tartu Uni Hospital
Tartu, 51014, Estonia
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The Northern Hospital
Epping, Victoria, 3076, Australia
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The Townsville Hospital
Douglas, Queensland, 4814, Australia
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Tiroler Landeskrankenanstalten Ges.M.B.H.
Innsbruck, 6020, Austria
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Tweed Hospital
Tweed Heads, New South Wales, 2485, Australia
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UC San Diego Health System
La Jolla, California, 92093, United States
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UMHAT " Sveti Georgi" Plovdiv - Clinic of Oncology and Hematology
Plovdiv, 4002, Bulgaria
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UMHAT Dr Georgi Stranski
Pleven, 5800, Bulgaria
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Uni Cattolica
Rome, Lazio, 00168, Italy
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Uniklinik RWTH Aachen
Aachen, 52074, Germany
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Uniklinikum "Carl Gustav Carus";Med. Klinik 1
Dresden, 01307, Germany
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Uniklinikum Freiburg
Freiburg im Breisgau, 79106, Germany
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Universitaetsklinikum Heidelberg
Heidelberg, 69120, Germany
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Universitatsklinikum Tubingen
Tübingen, 72076, Germany
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University Hospital Center Zagreb
Zagreb, 10000, Croatia
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University Hospital Merkur Clinic for Internal Medicine/ Hematology
Zagreb, 10000, Croatia
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University Hospital Southampton NHS Foundation Trust
Southhampton, SO16 6YD, United Kingdom
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University Hospital Sv.Georgi Clnic of Hematology
Plovdiv, 4002, Bulgaria
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University Multiprofile Hospital For Active Treatment "Sveti Ivan Rilski" EAD
Sofia, 1431, Bulgaria
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Universitätsklinikum Essen
Essen, 45122, Germany
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Universitätsklinikum Köln
Cologne, 50937, Germany
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Universitätsspital Zürich Medizin Hämatologie
Zurich, 8091, Switzerland
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Universtitätsklinikum Ulm
Ulm, 89081, Germany
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Wellington Hospital
Wellington, 6012, New Zealand
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Western General Hospital
Edinburgh, EH4 2XU, United Kingdom
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Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Wojewodzki Szpital Specjalistyczny im. J. Korczaka
Słupsk, 76-200, Poland
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Wojewódzki Szpital Specjalistyczny im. Miko?aja Kopernika
Lodz, 9351, Poland
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